HLN September 2015 by Healthy Living News

Your Monthly Guide to Healthy Lifestyles

He lthy Li ing News September 2015 • FREE

Also available at hlntoledo.com

Race for the Cure returns

Also in this issue: • Autumn skin spruce-up • UTMC offers cutting-edge Parkinson's therapy • Back to school with allergies • "The cancer that whispers" • How to eat for healthy aging

• Nobody's Perfect • Spiritually Speaking • Health Crossword • Sound Advice • Food Shark • And more!

Caring for every heart. mercyweb.org/heart

Autumn skin spruce-up

ery few individuals realize that 80% of their facial appearance with aging is due to sun exposure and subsequent skin damage. All the brown spots (“age spots”), broken blood vessels on the face, fine lines, and sagging skin are caused almost entirely by sun! What about the “worry lines” between your eyes, deep smile lines, upper lip lines (lipstick runs uphill), and your sagging jowls and neck? These unfortunate changes caused by prior sun exposure can be improved dramatically with pain-free, non-invasive cosmetic procedures performed by Dr. Handler. The NEW Thermage CPT Deep Tip procedure painlessly heats damaged collagen under your skin to tighten and lift the sagging areas of the neck, jowls, upper arms, and abdomen. The NEW Thermage CPT Deep Tip procedure utilizes radiofrequency energy (not laser) to uniformly heat the dermis (deeper layer) while the epidermis (top layer) is cooled and protected. This heating of the dermis causes immediate collagen contraction and tightening followed by new collagen production over a period of time. This procedure also encourages a natural repair process that results in further tightening, lifting, and younger-looking skin. With only ONE treatment, results are seen before leaving the office. Continued tightening and lifting of sagging skin occurs over a 6-month time period with results lasting 3-4 years! There is NO downtime and NO pain. The NEW Thermage CPT Deep Tip system has been utilized by Dr. Handler for many years with excellent results and very satisfied patients. For lines between the eyes (worry lines), crow’s feet, and the “sleepy and tired look with droopy eyelids,” the use of Botox or Dysport works well to improve these areas. The results are diminished lines and a more

Rejuvenation of aging hands

Photodamage plays a major role in the appearance of the hands and can give away one’s true age. The most common reason for treatment is brown (age) spots on the top of the hands and a “skeleton-like” appearance of the skin. This unfortunate result of sun damage can be greatly improved by utilizing a laser to destroy the brown spots. Further, Dr. Handler can reduce the signs of aging of the hands (veins and tendons showing through) with products that are used for facial sagging and wrinkling. Many patients have been treated for this form of “hand aging” with excellent results.

“wide awake” and less tired appearance. These products are also fantastic to reduce anxietyinduced underarm sweating for months after injections. This is also performed entirely by Dr. Handler with minimal pain with results lasting 5-7 months and longer. The use of fillers, such as Restylane, Perlane, Juvederm, Radiesse, and others, to “fill” deep smile lines and the marionette lines (the sad look) from the corners of the mouth produces immediate results lasting 12-15 months! Don’t look tired or sad! Since these products are combined with a numbing agent, the pain is minimal. Now, Dr. Handler utilizes the injection of a new filler called “Restylane Silk.” This product markedly improves upper and lower lip lines (lipstick “runs uphill”). Restylane Silk also volumizes your lips and restores their natural curve while looking attractive and natural. Restylane Silk also can be utilized to minimize the “worry lines” between your eyes. There is no downtime with these non-invasive procedures. For fine lines, large pores, and brown (age) spots, the Clear and Brilliant laser produces awesome visual results after 3-5 treatments. This is a painless procedure whereby Dr. Handler utilizes a laser to produce thousands of small columns of empty space in your dermis, which your body fills with its own collagen. This results in softer, smoother, and diminished facial lines and smaller pores. There is NO downtime with this procedure. When the Clear and Brilliant laser is combined with Thermage CPT Deep Tip, the results are ideal for patients who desire no downtime or pain and predictable results of lifting sagging skin and smoothing fine lines. Dr. Handler is the only dermatologist performing this procedure in Northwest Ohio. Dr. Handler has performed these procedures for many years with very gratifying results and very satisfied patients. All of these cosmetic enhancements are performed entirely by Dr. Handler. To view before-and-after photographs of patients who have had these procedures performed by Dr. Handler, visit www.drharveyhandler.com. For more

detailed information about the above-mentioned procedures or products, please call Dr. Handler’s office at 419-885-3400. Be sure to ask about specials available on many cosmetic procedures and products to diminish the signs of aging and obtain a more vibrant and youthful appearance of your skin. Also, please remember to have a yearly Full Body Exam for evaluation of moles and other growths we all develop as we age. Be certain you have no lesions that are pre-cancerous or cancer. Full body exams are best performed and evaluated by a board-certified dermatologist.

Hair loss in men and women Are you losing hair from surgery, anaesthesia, illnesses, pregnancy and delivery, medications, genetics, or “normal” hair loss secondary to aging or low blood levels of nutrients? There are many causes of hair loss in men and women. Most are not simply due to age, and many are frequently treatable. Now these problems of hair loss can be evaluated and there is hope for reducing your hair loss and stimulating new growth. Dr. Harvey Handler, board-certified dermatologist of Sylvania, Ohio, has a medical treatment for increasing blood flow to the hair follicle, thereby decreasing hair loss and increasing growth in many patients! After appropriate examination of your scalp hair and blood testing is performed by Dr. Handler to rule out treatable medical causes, Dr. Handler will discuss a product to decrease hair loss, increase growth, and cause the hair you have be fuller and thicker. This is not a product that is forever, but for months only. This new treatment works with or without Rogaine (minoxidil, which is forever) for reducing loss and promoting growth. Call Dr. Handler’s office to set up an appointment for a thorough evaluation and discussion of your particular hair loss and the therapy that may be individualized for you. Don’t assume because it “runs in the family” that you can do nothing to slow your hair loss. Most patients notice a decrease in loss in 30-60 days! ❦

www.drharveyhandler.com

Reduce lines, fade sun spots Smoother, tighter, younger-looking skin on face, arms, and chest

clear + brilliant

ADULT, PEDIATRIC, & COSMETIC DERMATOLOGY HAIR & NAILS

No surgery. No injections. No downtime.

Harvey L. Handler, m.d.

Fellow American Academy of Dermatology • Board Certified in Dermatology

5300 Harroun Rd., Suite 126 (in the Medical Office Building on the campus of Flower Hospital)

419.885.3400

September 2015 • Vol. 20, Issue 9

Your Monthly Guide to Healthy Living

HEALTH & BEAUTY

FOOD & NUTRITION

2 Autumn skin spruce-up 7 Leukemia and lymphoma: two blood cancers with many characteristics in common 9 Parkinson Foundation of NWO: building awareness and expanding resources for the Parkinson’s community 11 UTMC now offers groundbreaking deep brain stimulation procedure to area Parkinson’s patients 12 Exercise eases symptoms of Parkinson’s disease 14 UTMC seminar to address lymphedema relief options, by Brandi Barhite 17 Sound Advice from Northwest Ohio Hearing Clinic by Randa Mansour-Shousher, AuD, CCC-A 20 Elite Concierge Medical maximizes availability, affordability, and certainty of patient care 27 Heartland Rehab’s September health tips, by Jim Berger 32 How not to get cancer, by Douglas Schwan, DC, Dipl ac 41 Breakthrough in-office treatment resolves intimate post-menopausal issues 42 Ovarian cancer: Silent onset stymies early detection 44 Spiritually Speaking The Gift of Work by Sister Mary Thill

40 Food Shark Bite 5: Fowl and Fodder’s steak sandwich 43 Eating Well How to eat for healthy aging by Laurie Syring, RD/LD 46 Getting to the root of good flavor 52 Weight loss: It’s the little things that count

TAKING CARE OF YOUR LIFE

Around Town Don’t miss Elizabeth Scott’s 7th Annual

15 Nobody’s Perfect What doesn’t kill you makes you stronger, by Sister Karen Zielinski, OSF 22 Health Crossword, by Myles Mellor 34 A Walk in the Park More than just a hole in the ground by LeMoyne Mercer 38 How to safely manage that garden chemical stockpile 39 News from Otterbein Using technology as part of rehabilitative therapy produces results 50 Don’t get stuck in your comfort zone by Amanda Manthey

Dear Readers, Thank you for picking up the September issue of Healthy Living News. As the image on our cover suggests, it’s time to get ready for the 22nd Annual Komen Northwest Ohio Race for the Cure, to be held Sunday, September 27 in downtown Toledo. In fact, this issue marks our 19th consecutive year as a proud sponsor of Race for the Cure, a vital event that brings hope to so many area residents whose lives have been touched by breast cancer. For more details, see the article on page 5. This issue is also packed with information—and, we hope, inspiration— for folks in our community whose lives are touched by Parkinson’s disease, including an article on the groundbreaking deep brain stimulation procedure, now offered

CHILDREN & PARENTING 19 Is it about the “A” or the “W”? by Mark S. Faber, USPTA Elite Professional 23 Be allergy-alert this back-to-school season 37 Seven ways to beat the “freshman 15”

OUR COMMUNITY 5 Race for the Cure returns: Toledo to see pink 25 Local pastor gets back in the pulpit with help of The Laurels and NASA technology 30 ProMedica and Harbor partner to integrate medical and behavioral aspects of chronic disease care 47 Senior Living Guide 48 Sylvania Franciscans receive grant for Haiti ministry September Fest!, 6; Toledo Zoo seeking volunteers, 12; Kingston HealthCare medical director achieves board certification, 13; Local businesses offer community and social opportunities for adolescents with autism, 16; Lucas County Children Services seeks foster families, 18; Serenity Farm’s Art in the Barn, 33; Lourdes University and Saint Louis University collaborate to offer MSW program, 36; College dean and healthcare executive to receive Franciscan Awards, 42; Local survivor to be honored at breast cancer awareness brunch, 44; Victory Center and Magic Wok partner to raise funds for cancer patients, 53.

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locally at UTMC (p. 11); a profile of the services and events offered by our friends at the Parkinson Foundation of Northwest Ohio (p. 9); and a look at how exercise helps ease Parkinson’s symptoms courtesy of Central Park West (p. 12). And that’s just scratching the surface of this jam-packed, 56-page issue. You’ll also find timely advice on being “allergy-alert” as kids head back to school from Toledo Clinic allergist/immunologist Dr. Binod Thakur (p. 23), expert perspectives on the exciting collaboration between ProMedica and Harbor that’s helping to integrate medical and mental health services in our community (p. 30), observations on the blood cancers leukemia and lymphoma from Cindy Sutton, CNP, of The Toledo Clinic Cancer Centers (p. 7), and insights on ovarian cancer—“the cancer that whispers”—from

e lthy l ng ews

He’s always been your rock. Your dad isn’t happy that he’s not as independent as he used to be, but ProMedica Home Health Care will help him stay at home, and stay healthy. We will take care of speech therapy, home medical equipment, and a personal emergency response system for you and for your dad. ProMedica is the local health care system that can care for him at every stage from getting him dressed for the day to helping him regain his speech. It’s all about being well connected. To connect with ProMedica Home Health Care, call 800-234-9355.

/HLNToledo

@HLNToledo

Mercy gynecological oncologist Dr. Jennifer Rhode (p. 42). In addition to Race for the Cure, we’d like to draw your attention to two other upcoming events. The first is a diabetes health fair presented by Endocrine Specialists, to be held Saturday, October 3 from 11:00 a.m. to 3:00 p.m. For more information, please see their ad on page 38. The second is a lecture series titled “Focus on Lymphedema Prevention and Management,” to be held Thursday, October 15 from 6:00 to 8:00 p.m. at the Radisson Hotel Grand Ballroom on the UT Health Science Campus. To learn more, see the ad and article on page 14. Unitl next month, stay safe, active, and healthy!

800-234-9355 promedica.org/homehealthcare

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Protocol Number INCB-MA-PV-401 sponsored by Incyte Corporation © 2014 Incyte Corporation Protocol Number INCB-MA-PV-401 sponsored by Incyte Corporation © 2014 Incyte Corporation 4 September 2015 | Healthy Living News

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Race for the Cure returns

Toledo to see pink on September 27 t is the rare individual whose life has never been touched by breast cancer. Among women, it is the second most common cancer after skin cancer and the second leading cause of cancer death after lung cancer. The American Cancer Society estimates that in 2015, about 231,840 new cases of invasive breast cancer will be diagnosed in women and about 40,290 women will die from breast cancer in the United States. Those who aren’t personally battling breast cancer likely know someone else—a mother, sister, wife, aunt, cousin, co-worker, or friend—who is either actively fighting the disease or has joined the ranks of the nation’s 2.8 million breast cancer survivors. In our community, the Northwest Ohio Affiliate of Susan G. Komen for the Cure is doing its part to combat breast cancer on every front. Susan G. Komen Northwest Ohio provides funding for breast health services, breast cancer education, and outreach in a 24-county service area, which includes Allen, Auglaize, Crawford, Defiance, Erie, Fulton, Hancock, Huron, Hardin, Henry, Logan, Lucas, Mercer, Monroe, Ottawa, Paulding, Putnam, Sandusky, Seneca, Shelby, Van Wert, Williams, Wood, and Wyandot counties. Komen, whose vision is “A World Without Breast Cancer,” grants 75 percent of the funds it raises to support vital local breast health services—in fact, it just recently granted over $500,000 to local organizations fighting breast cancer—and dedicates the remaining 25 percent to national research seeking a cure. According to Stephanie Pilgrim, Marketing and Communications Manager for Susan G. Komen Northwest Ohio, the organization’s signature event and biggest fundraiser is Race for the Cure®, to be held Sunday, September 27 at 9:30 a.m. in downtown Toledo (Findlay Race for the Cure will be held one day earlier on Saturday, September 26). Presented by Northwest Ohio Ford Dealers and now in its 22nd year, Race for the Cure is not only Komen’s biggest fundraiser, but also a tremendous source of support and encouragement to those whose lives are affected by breast cancer. “I don’t

know if I can put into words what Race for the Cure means to breast cancer survivors and their families,” Pilgrim explains. “It’s an incredibly inspirational day, with survivors surrounded by loved ones and others who completely understand what they’re going through and the battle they’re in. One of the most profound parts is the Survivor Parade, in which participants carry signs showing how many years they’ve survived. Seeing someone with a sign that says ’35-year survivor ’ is an incredible source of hope to those who are newly diagnosed.” Pilgrim notes that this year’s event promises all sorts of fun and inspirational activities for participants, including the popular Team T-Shirt

Competition, Kids Area, appearances by Mud Hens mascots Muddy and Muddonna, Sponsor Expo, and, of course, the traditional Survivor Parade and photo. In addition to the 5K race itself, there will also be a one-mile Family Fun Walk, which encourages kids to get creative in their walking style—perhaps waddling like a penguin or hopping like a bunny. The cost to participate in Race for the Cure is $30 for adults and $20 for youth 18 and under, but Komen urges participants and teams to do additional fundraising to help push the organization closer to its goal of raising $1 million for local breast cancer services and national research. “To encourage fundraising efforts, we’re offering some exciting new incentives this year, including 15 weeks of giveaways. Each week, a fundraising contestant will be chosen to receive a prize package, for example a one-night stay at Maumee Bay Lodge or dinner for 10 at La Scolla Italian Grill. Also, anyone who raises $1,000 or more will be placed on our Pink Honor Roll and will receive special prizes and VIP treatment

In your home or ours. Your husband’s doctor just told you it’s time for hospice care. You’re overwhelmed and aren’t sure where to start. At ProMedica Hospice we provide our compassionate, patient-centered care anywhere you call home – whether it’s in your home, an assisted living or nursing facility or at Ebeid Hospice Residence. ProMedica is the local health care system that can help you and your husband on this journey by providing expert guidance, care and support. It’s all about being well connected. To connect with ProMedica Hospice, call 419-824-7400.

Connect with our advertisers via our online issue at www.hlntoledo.com | Healthy Living News | September 2015

Mission Statement Healthy Living News offers the residents of northwest Ohio and southeast Michigan a monthly guide to news and information about healthy life styles, health care, sports and fitness, and other issues related to physical, mental and emotional quality of life. The publication promises to be an attractive, interesting and entertaining source of valuable information for all ages, especially those 35 to 50. Healthy Living News is locally owned, committed to quality, and dedicated to serving our great community. Healthy Living News is published the first of each month. The opinions expressed by contributing writers do not necessarily reflect the opinions of the publisher. Distribution of this publication does not constitute an endorsement of any kind. While HLN makes every attempt to present accurate, timely information, the publication and its publisher and/or advertisers will not be held responsible for misinformation, typographical errors, omissions, etc.

Contacts Business office:

To advertise: Healthy Living News, 3758 Rose Glenn Drive, Toledo, OH 43615. Phone: (419) 841-8202 or email Kevin O’Connell at sfstennis76@bex.net. Ad reservation deadline is the 15th of the month preceding publication. HLN reserves the right to refuse advertising for any reason and does not accept advertising promoting the use of tobacco.

Editorial office: Deadline for editorial submissions is the 10th of the month preceding publication. Send submissions to: Editor, Healthy Living News, 1619 Circular Dr., Toledo, OH 43614. Phone: 419-382-5751, fax 888-506-5790; email: editorhln@bex.net. Publisher: Kevin O’Connell

Editor: Jeff Kurtz Travel Editor: LeMoyne Mercer Sales: Robin Buckey Print Designer: Jan Sharkey

throughout the year,” says Pilgrim. Also new this year, Race for the Cure registration will be offered at Franklin Park Mall on August 29 from noon to 6:00 p.m. and on August 30 from 1:00 to 4:00 p.m. On September 12, registration will be available at Brondes Ford Toledo, Mathews Ford, and Kistler Ford from 10:00 a.m. to 2:00 p.m. As race day draws closer, Brondes Ford Maumee will offer registration on September 24 and 25 from 10:00 a.m. to 7:00 p.m. and then on September 26 from 10:00 a.m. to 4:00 p.m.

Social Media Specialist Miranda Hassen Distribution: Jim Welsh • Alison Foster Dominion Distribution Distributech–Toledo Copyright © 2014 Healthy Living News Reproduction in whole or part without written permission is prohibited. Healthy Living News is published for the purpose of disseminating health-related information for the well being of the general public and its subscribers. The information published in Healthy Living News is not intended to diagnose or prescribe. Please consult your physician or health care professional before undertaking any form of medical treatment and/or adopting any exercise program or dietary guidelines.

6 September 2015 | Healthy Living News

For more information on Race for the Cure and ways to get involved, visit komennwohio.org, email info@ komennwohio.org, or call 419-724CURE (2873).

Don’t miss Elizabeth Scott’s 7th Annual September Fest!

or the seventh consecutive year, the Elizabeth Scott Community in Maumee will celebrate fall with its Annual September Fest! The free, family friendly, outdoor event is open to the public and will be held on Saturday, September 12 from Noon to 5:00 p.m. on the Elizabeth Scott Community’s campus, 2720 Albon Road, Maumee. Elizabeth Scott offers independent and assisted living as well as skilled nursing and rehabilitation. Nearly 2,500 guests turned out for September Fest last year. “We add something new to the event each year,” says Matt Bucher, Director of Marketing for the facility. “For example, our giant inflatables are a huge draw for the kids. This year, we’re adding a Cars Speedway Giant Inflatable and an Obstacle Slide Giant Inflatable.” Another new piece to Elizabeth

Web Designer: Strategically Digital LLC

“Our goal is to keep making Race for the Cure bigger, better, and more convenient for participants so we can continue to raise breast cancer awareness along with funds for breast cancer services in Northwest Ohio and research at the national level,” Pilgrim states. ❦

Scott’s September Fest event involves their recently constructed 12,000-square-foot Skilled Rehabilitation Center that will soon open. Guests at September Fest are invited to tour the new facility. “Patients who have joint-replacement surgery or who are recovering from strokes are two examples of people who would require physical, occupational, or speech therapy in our facility,” says Bucher. “They would live here, rehab here, eat and sleep here, then recover enough to go home.” Elizabeth Scott’s September Fest offers something for everyone. The event will again feature the popular 35-foot-tall zipline and a rock wall, along with train rides, arts and crafts, and a kids’ tent. “We’re also bringing back our popular antique farm tractors that will be on display,” says Bucher. The tractors are part of the Power of Yesteryear

antique tractor club. Bucher says the antique farm tractors are a link to the Elizabeth Scott Community’s roots, which were established in his great-grandmother’s farmhouse in 1949. Today, that farmhouse is still a part of the Elizabeth Scott campus. Musical entertainment includes Duane Malinowski’s Polka Band and the Off Broadway Dance Company, a local tap dancing troupe. September Fest will also feature Las Vegas style casino games with play money. “The casino games are a huge hit with the residents of our facility,” says Bucher. “But they are open to anyone who attends the event.” Those who attend can purchase food and refreshments from a variety of food vendors. Non-alcoholic soft drinks will also be sold. Admission and parking are free. Elizabeth Scott’s September Fest is sponsored by ProMedica St. Luke’s Hospital, The Mirror Newspapers, Healthy Living News, Mature Living, First Federal Bank, and Co-Man Portable Toilets. The free event will be held on its campus, 2720 Albon Rd. in Maumee just west of I-475 between Salisbury Road and Airport Highway. The Elizabeth Scott Community has been family owned and operated since 1949. For more information about September Fest, call The Elizabeth Scott Community at 419-865-3002 or visit www.elizabethscott.org. ❦

New this year!

Cars Speedway Giant Inflatable Obstacle Slide Giant Inflatable

Plus!

Zip-Line • Rock Wall Train Rides Antique Tractor Display Arts & Crafts • Kids’ Tent Las Vegas Casino (play money, no cash winnings)

Entertainment

Duane Malinowski’s Polka Band The Off Broadway Dance Company— Tap Dancing Troupe

Food to Purchase

Food & Soft Drinks Available to Purchase (no alcohol)

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Leukemia and lymphoma: two blood cancers with many characteristics in common

he cancers leukemia and lymphoma are very often lumped together in conversations and medical literature. The reason being, both are considered “blood cancers,” separate and distinct from the so-called solid-tumor cancers (despite the fact that they can cause tumors as well). So in what ways are these two cancers similar and how do they differ? As Cindy Sutton, CNP, of The Toledo Clinic Cancer Center, explains, “Both leukemia and lymphoma affect the blood, bone marrow, and lymph system, so they’re very much connected through the circulatory and immune systems. They’re also similar in that both primarily involve the white blood cells and immune cells, which help the body fight infection. However, leukemia is generally confined to cells in the blood or bone marrow while lymphoma is usually confined to the lymph system—though there is some crossover.” In essence, both leukemia and lymphoma cause abnormal white blood cells to multiply rapidly and survive longer than normal, so they eventually begin to crowd out the normal, healthy cells—typically in the bone marrow (where all blood cells are made) for leukemia and in the lymph nodes for lymphoma. In the earliest stage, both cancers tend to cause few, if any, pronounced symptoms. And when symptoms do arise, they can be quite variable and non-specific. Examples of symptoms to watch for include drenching night sweats, loss of appetite, unexplained weight loss, a low red blood cell count (anemia), fatigue, shortness of breath, and painless, enlarged lymph nodes (e.g., in the neck, armpit, or groin). Some of these signs may be more typical with one form or the other, but again, crossover is not uncommon. Notwithstanding all the similarities, it’s important to understand that leukemia and lymphoma are not just two cancers, but a group of many different diseases. “There are dozens of subtypes of lymphoma, all of which

act differently and need to be treated differently. So, it’s always important to get the right workup and follow your doctor’s treatment instructions. Leukemia can be either chronic or acute and also has many subtypes. The acute form, which progresses much more rapidly, always requires prompt treatment, but the chronic form can sometimes be left untreated and just monitored—sometimes for many years,” says Sutton. With respect to curability, these cancers vary considerably by type and subtype. Some are quite curable, especially when identified early, while others are not and require close monitoring for the rest of the patient’s life. Sutton explains that patients who have been treated successful are said to be in “complete remission,” but even then, they still need to follow up with their doctor at regular intervals. Sutton is optimistic that the advent of newer chemotherapy agents, which are more targeted than traditional chemo, and immunotherapy, which turns the tables on these cancers by encouraging the body’s immune system to attack cancerous cells, will help strengthen the remission rate for both leukemia and lymphoma. Bone marrow transplant, provided at a tertiary facility such as the University of Michigan, may also be an option for keeping these cancers from recurring in certain patients. As far as prevention is concerned, little is known. Doctors don’t understand why some people get these cancers while others don’t, so there’s no particular action one can take, food one can eat, or supplement one can take to keep them at bay. The key is to be alert to symptoms, especially an unexplained lump or bump, and see your doctor promptly for an evaluation if any should arise. ❦

CANCER CENTER

Toledo Clinic Cancer Centers 4126 N. Holland Sylvania Road, Suite 105 Toledo, OH 43623 GET DIRECTIONS TO HERE Scan the QR code and use Google Maps to get directions to this location.

or call 419-479-5605 Toledo Clinic Cancer Centers has moved to better serve our patients and families. Be sure to join us for our open house on March 5th, 2014 from 4pm - 7pm! Located on N. Holland Sylvania Road, we have laboratory, MRI and other specialty services conveniently located on the premises.

Why area doctors trust us the most… • Area’s most experienced cancer care team • Enrolling more patients in clinical trials than any other cancer care provider in the region • Largest number of referred patients • NW Ohio’s first QOPI Certified Cancer Center Dr. David Brown Dr. Mark Burton Dr. Shaili Desai

Dr. Tim Kasunic Dr. Rex Mowat Dr. Richard Phinney

Dr. Howard Ritter Dr. Bradley Sachs Dr. Charu Trivedi

Toledo Clinic Cancer Centers, located at 4126 N. Holland Sylvania Road, Suite 105, has eight board-certified hematologists/oncologists and eight nurse practitioners on staff and can

Connect with our advertisers via our online issue at www.hlntoledo.com | Healthy Living News | September 2015

Parkinson Foundation of Northwest Ohio

Dedicated to Educate, Comfort and Raise Awareness 12-Week Session

THE PARkINSON FOUNdATION OF NORTHWEST OHIO’S MISSION is to establish optimal quality of life for the Northwest Ohio Parkinson’s community through awareness, education and care.

Are you a Patient with or a Caregiver for someone who has Parkinson’s? The Parkinson Foundation of Northwest Ohio (PFNWO) is a local organization focused on providing a method of communication and support. The PFNWO can best be thought of as a GATEWAY to PD resources. You can find information about living with or caring for someone with PD, links to many helpful websites for more detailed information about PD, and best of all—information about the region’s support groups—for some firsthand information about life with PD. The Parkinson Foundation of Northwest Ohio, serves the 22 counties that make up Northwest Ohio. Established to disseminate information about Parkinson disease to all interested residents of NW Ohio, it is a non-profit organization committed to improving the quality of life for those affected by Parkinson disease.

Beginning September 18

Thursdays 11 am - Noon The Arbors at Waterville

knock-Out Parkinson’s Program

Mondays and Wednesdays 9 a.m. IBC, 525 Earlwood, Oregon, Ohio

6th Annual Romp, Stomp and Run

Centennial Terrace, 5773 Centennial Road, Sylvania, OH 5K, 1 Mile Romp, Kids Fun Run, Kids Carnival, Health Fair, Silent Auction and LIVE Music! 8:30 a.m. Same Day Race Registration / 10 a.m. 5K Race 11 a.m. Kids Fun Run / 11:30 a.m. 1 Mile Romp/Walk Online Pre-Register @ www.runsignup.com/Race/OH/Sylvania/RompStompandRun By mail: ParkinsonFoundation of NW Ohio, 580 Craig Dr., #8, Perrysburg, OH 43551 For more information or to make a donation, visit PFNWO.org, events page, or call 1-800-438-5584

10th Team Fox Walk to benefit the Michael J Fox Foundation

Bay Park Hospital, Oregon Kids Activities start at 9:30 a.m. / Walk steps off at 11:00 a.m. Prizes, Refreshments, Raffle & More! For more information or to make a donation visit www.teamfox.org search for fundraiser Janet Clough, visit the events page at PFNWO.org or call 1-800-438-5584

Shaken, Not Stirred 6th Annual Gala

6-10 p.m. / The Pinnacle, Maumee, OH Dinner, Dancing, Silent Auction and Live music by Dan and Don For more information or to register, visit the events page at PFNWO.org or call 1-800-438-5584

SUPPORT GROUPS If you are new to a group, please call ahead to confirm meeting time and location. Ashland County 2nd Tuesday 2:00 p.m. Belmont Tower 2140 Center Street Ashland, OH John Rowsey 419-289-1585 Auglaize County 3rd Monday 2:00-3:00 P.M. Joint Township District Memorial Hospital, 200 St. Clair Street, St. Mary’s, OH 45885 Linda Dicke 419-394-3335 Hancock County 3rd Monday 12:30 P.M. St. Michael’s Catholic Church 750 Bright Road, Findlay, OH 45840 Dennis Ploszaj 419-425-8506 Lima Area 1st Thursday Of Each Month, 2:00-3:00 P.M. No Meetings In December, January and February St. Rita’s Auxiliary Conference Center 718 W. Market St., Lima, OH 45801 Beth Hartoon 419-226-9019

Lucas County 2nd Thursday 1:30 p.m. *Meetings do not occur January, February & March Boulevard Church Of Christ 7041 W. Sylvania Ave, Sylvania, OH 43560 Carrie Boze 419-841-3070 Parkinson Project of NW Ohio Young On-Set Group 2nd Wednesday 7:00 P.M. *Meets every Month EXCEPT July Kingston Rehabilitation of Perrysburg 345 E Boundary St, Perrysburg, OH 43551 419-873-6100 Linda & Michael Kramer 419-499-2457 Barbara Harris 419-448-9333 Perrysburg 1st Thursday 2:30 p.m. Zoar Lutheran Church, 314 E. Indiana Ave, Perrysburg, OH 43551 Kristen Schuchmann 419-383-6737 ProMedica Memorial Hospital/ Seneca County PD Support Group 2nd Tuesday 2:00 p.m. Meets every other month: Jan, Mar, May, Jul, Sept, Nov Fremont American Legion 200 Buckland Avenue, Fremont, OH 43420 Lesley King 419-334-6630

8 September 2015 | Healthy Living News

Putnam County 4th Wednesday 11:15 A.M.- 12:45 p.m. NO meetings in December, January and February Henry’s Restaurant, 810 N. Locust St., Ottawa, OH 45875 Beth Hartoon 419-226-9019 Sandusky 1st Thursday Each Month 3:00-4:30 p.m. Firelands Hospital, South Campus Old Providence Chapel Hayes Avenue Sandusky, OH 44870 Sandi Bodi 419-357-2895 Tiffin 1:00-2:30 P.M. St. Francis Home, 182 St. Francis Ave., Tiffin, OH Jean Overmier or Rachel Fabrizio 419-447-2723 Western Ohio 3rd Thursday 2:00 p.m. New location: Briarwood Village 100 Don Desch Dr., Coldwater, OH 45828 Kristie Obringer 419-678-2851

Williams County 3rd Monday 12:30 p.m. *Excluding County Holidays Bryan Senior Center, 1201 South Portland, Bryan, OH 43506 419-636-4047 Laura Rohlf 419-924-2927 Wood County 2nd Monday 1:30-230 P.M. Bowling Green Senior Center, 305 N. Main St., Bowling Green, OH 43402 419-806-2039 David Buenting, Facilitator CAREGIVER SUPPORT GROUPS Toledo Caregivers (C.A.R.E.S.) Support Group 1st Monday 6:30 p.m. (except Holidays) Lutheran Village at Wolf Creek Assisted Living 2001 Perrysburg-Holland Rd. Holland, OH 43528 Kristen Schuchmann 419-383-6737, Lisa Keaton 419-383-6770 Findlay Caregivers Support Group 1st Monday 11:30 a.m. Bob Evans, 2400 Tiffin Ave., Findlay, OH 45840 Carol Hassan 419-423-1486

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provide imaging and laboratory diagnostic services, chemotherapy services, and IV services. TCCC also has satellite centers in Maumee, Bowling Green, Oregon, Adrian, and Monroe for the convenience of the patient, and

many TCCC patients are enrolled in the latest cancer research and studies in our region through the Toledo Community Oncology Program (TCOP). For more information, please call the Toledo Clinic Cancer Centers at 419-479-5605.

Parkinson Foundation of NWO Building awareness and expanding resources for the Parkinson’s community

ope, knowledge, empowerment, and support are essential tools in the fight against any serious disease. But for people just starting life with Parkinson’s disease, these vital tools can seem out of reach. Whereas community awareness is quite high when it comes to some diseases, such as breast cancer, Parkinson’s is on the proverbial ground floor in this regard. As a result, Parkinson’s patients and their loved ones often feel as though they’re in it alone, which can leave them feeling overwhelmed and isolated. The good news is, thanks to the ongoing efforts of the Parkinson Foundation of Northwest Ohio (PFNWO) and its team of dedicated volunteers, this trend is beginning to reverse and Parkinson’s awareness is slowly but steadily rising in our community. “When someone is newly diagnosed with Parkinson’s, they usually have more questions than answers,” explains Tom Dunbar, president of the PFNWO and a Parkinson’s patient. “There’s no blood test to tell them how the disease will affect their body, which treatments will help, or how their lives and careers will be affected. The role of the PFNWO is to offer hope and comfort, raise awareness, and help Parkinson’s patients connect with information, support groups, and other resources in our community. We want them to know there’s someplace they can go and something they can do to take control of their disease and live their lives to the fullest despite their diagnosis.”

Support groups In addition to the expert care of a movement disorder specialist, what Parkinson’s patients need most are emotional support and practical strategies for managing their symptoms

while maximizing their quality of life. And the best place to access these resources is a Parkinson’s support group. The PFNWO not only helps members of the Parkinson’s community connect with support groups in their area, but also works with support group facilitators to ensure they have all the necessary resources to meet the needs of their members. “Support groups, which are offered at no cost, are a great place to go for camaraderie as well as to discuss experiences and share practical tips on how to cope with Parkinson’s and live better with the disease,” says PFNWO vice president Gail Zimmerman, whose father had Parkinson’s. “People who are newly diagnosed are sometimes hesitant to join a group, often because they’re apprehensive about seeing people in more advanced stages of the disease or they’re uncomfortable discussing their problems in front of others. So it’s often the patient’s spouse or other loved one who attends a meeting first. But if they can overcome that initial reluctance, they’ll soon discover that there are many benefits to participating.” To find a Parkinson’s support group that fits your needs and schedule, visit pfnwo.org and click “Local Support” under the “Support” tab. Then, call the contact person listed under the group of your choice for more information.

3.1% 9Ohio Health

Care Association

Top 10 Facility Spring Meadows Senior Community

Spring Meadows Senior Community is honored to be named one of the Top 10 facilities in the Ohio Health Care Association. The ranking is based on results of the Ohio Department of Aging bi-annual Family Satisfaction Survey. Spring Meadows received a 93.1% satisfaction score from residents’ family members. Astor House, our assisted living facility, received a 95% score. At Spring Meadows, we are all family! Knowing family members feel their loved ones receive outstanding, loving care means we are providing the service we strive for every day. There is nothing that is more important to us.

Exercise programs Zimmerman notes that while the PFNWO has been in the process of building Parkinson’s awareness, they’ve observed that exercise plays a major role in helping slow the progression of Parkinson’s and helping people with the disease feel better. So one of the foundation’s priorities is promoting a variety of different exercise programs shown to benefit

Spring Meadows for Extended Care • Astor House for Assisted Living

You’re invited to visit us at 1125 Clarion Ave. Holland or call 419-866-6124 • springmeadowsecf.com

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Parkinson’s patients, such as Delay the Disease, Knock-Out Parkinson’s, yoga, and others. Delay the Disease, developed by professional fitness instructor David Zid of Columbus, Ohio, and offered in various locations throughout Northwest Ohio (including the Fort Meigs and East YMCAs, UTMC’s Morse Center, Northwest Physical Therapy, and others), is a group fitness program “designed to empower people with Parkinson’s disease by optimizing their physical function and helping to delay the progression of symptoms.” The PFNWO also provides funding to educate trainers from all around the organization’s 22-county service area so they can go back to their communities and teach Delay the Disease. In fact, as of this writing, there are 44 candidates in training for the program. Knock-Out Parkinson’s is a therapeutic boxing program that helps delay Parkinson’s disease and targets its symptoms. The program is offered at the International Boxing Club, 525 Earlwood Avenue in Oregon, Ohio. For more information, contact Harry Cummins at 419-244-8955, 419-450-8435, or hec3rd@ aol.com.

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To help raise the funds used to promote Parkinson’s resources and services in our community—as well as to provide opportunities for fun and fellowship among those whose lives have been touched by the disease—the PFNWO partners with other area organizations and hosts a series of exciting special events. For example, the Toledo Mud Hens recently held a special game themed Back to the Future, after the popular film starring Michael J. Fox, whose foundation is dedicated to finding a cure for Parkinson’s. Over the course of a double-header, the players wore both retro and future jerseys and then auctioned off the signed jerseys afterward. The funds raised were shared with the PFNWO. “We were thrilled that the Mud Hens chose us to benefit from this promotion. They also gave us 100 tickets at a reduced price, making it possible for many Parkinson’s patients and their

loved ones to enjoy a fun night out. We want people to know we’re also about having fun, not just raising funds,” says Dunbar. Other upcoming events that provide an opportunity for participants to have fun while helping the PFNWO raises funds include: The 6th Annual Romp, Stomp and Run will be held on Saturday, September 12, 2015, at Centennial Terrace, 5773 Centennial Rd., in Sylvania. This day of fun for the entire family will feature a 5K race at 10:00 a.m., Kids Fun Run at 11:00 a.m., one-mile Romp/Walk at 11:30 a.m., as well as a kids’ carnival, health fair, silent auction, and live music. Register online at www.runsignup. com/Race/OH/Sylvania/RompStomp andRun, or by mail: Parkinson Foundation of Northwest Ohio, 580 Craig Dr., #8, Perrysburg, Ohio 43551. On-site race-day registration starts at 8:30 a.m. For more information or to make a donation, visit the events page at PFNWO.org or call 1-800-438-5584. The 10th Team Fox Walk to benefit the Michael J. Fox Foundation will be held on Saturday, October 3, 2015 at ProMedica Bay Park Hospital. Featuring kids’ activities, prizes, refreshments, raffles, and more, this event

was developed to fund the Michael J. Fox Foundation for Parkinson’s Research, raise awareness of the benefits of exercise in delaying the effects of Parkinson’s disease, and create a fun, family-oriented community event. Kids activities start at 9:30 a.m., and the walk steps off at 11:00 a.m. For more information or to make a donation, visit www.teamfox.org and search for Janet Clough. Those who like their fun “Shaken, Not Stirred,” won’t want to miss the 6th Annual Parkinson’s Disease Gala, to be held on Friday, October 9, 2015 from 6:00 to 10:00 p.m. at the Pinnacle in Maumee, Ohio. This

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007-themed event will feature dinner, dancing, a silent auction, and music by Dan and Don. “We want this gala to be a fun, lighthearted evening for people living with Parkinson’s and a thank-you to all those in the community who support our efforts through their generous donations,” Zimmerman says.

Volunteers needed! Of course, none of these important

events would be possible without the help of volunteers. Zimmerman urges anyone who might be interested in getting involved to contact the foundation by calling 1-800-4385584 or using the online contact form at PFNWO.org. Volunteering is a great way for Parkinson’s patients to help keep these vital events going and to take a proactive step in their personal fight against Parkinson’s disease. ❦

UTMC now offers groundbreaking deep brain stimulation procedure to area Parkinson’s patients

he Medtronic deep brain stimulation (DBS) procedure can be life-altering to people with Parkinson’s disease or essential tremor whose medications are either not working adequately or causing intolerable side effects. However, until recently, DBS was offered only in facilities remote from Toledo. Now, with neurosurgeon Dr. Frederick Junn of Dearborn, Michigan bringing his extensive experience with DBS to the University of Toledo Medical Center (UTMC), area patients who might

benefit from DBS no longer need to travel outside our community to undergo this groundbreaking therapy. DBS, which is approved and indicated for the treatment of Parkinson’s disease and different types of tremor disorders, involves the surgical implantation of an extremely small electrode in the patient’s brain. The electrode is then connected to an implantable pulse generator, similar to a cardiac pacemaker, which is typically implanted just under the skin below the patient’s collar

bone. The neurostimulator delivers Chicago and other locales,” explains electrical signals to precise targets Lawrence Elmer, MD, PhD, Director in the brain, correcting the abnor- of the Gardner-McMaster Parkinson mal brain activity in these diseases Center at UTMC. “While we have exand, thereby, alleviating the major ceptional neurosurgeons right here at symptoms of Parkinson’s, including UTMC, successful outcomes following tremor, rigidity, stiffness, slowed this surgery usually result at centers movement, and difficulty walking. that specialize in this procedure. The Other symptoms may improve as neurosurgeons at these outside facilwell, such as dyskinesias caused by ities typically have completed many medications (e.g., the “wiggling” months of fellowship training in the movements that actor Michael J. Fox DBS procedure and operated on experiences). In patients with various hundreds of patients. Now with Dr. types of tremor (such as Junn performing DBS here, “essential tremor” seen in our patients have access to actress Katharine Hepburn), the most experienced DBS a different part of the brain neurosurgeon in Michigan, is targeted and corrected Ohio, and Indiana.” electrically, since the shaking The importance of exis the only symptom. tensive experience in per“We’ve wanted to offer forming DBS cannot be DBS as a service to our paoverstated. According to tients at UTMC for a long Dr. Elmer, the precise placement of these electrodes time, but before Dr. Junn joined our team, our patients is the key to success—if had to go to other facilities the stimulator is placed a for this treatment, such fraction of an inch away as Detroit, Ann Arbor, the from its optimal “target,” Cleveland Clinic, University the result may be little or Hospital at Case Western Reno benefit compared to the Dr. Lawrence Elmer, serve, Ohio State University, results seen after accurate University of Cincinnati, as Director, Gardner-McMaster placement of the electrode. Parkinson Center, UTMC well as other hospitals in “From the patient’s per-

FOr ThOse: 3 Who are able to walk independently without a cane or walker 3 Who are able to get down to and up from the floor without help 3 Who can tolerate one hour of exercising Tuesdays and Thursdays from 5:00 - 6:00 pm August 18 until December (15 weeks) Morse Center - Third Floor Dowling Hall, University of Toledo Health Science Campus $5 per week or $2.50 per session

TO reGIsTer: 419-383-2348 For more information contact Jocelyn Szymanski at the number above or email at jocelyn.szymanski@ utoledo.edu

BrOuGhT TO yOu By: The university of Toledo rocket Wellness and the The Gardner-McMaster Parkinson Center WITh The GenerOus suPPOrT OF:

Parkinson Foundation of Northwest Ohio

Dedicated to Educate, Comfort and Raise Awareness

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spective, this procedure—which is done in large part while the patient is awake—can be challenging and frightening. So, if the first attempt yields no benefit, it’s extremely difficult to convince the patient to undergo the procedure a second time,” he says. “This is one of the best examples in current neurosurgery of why the surgeon needs to be the best expert available—the procedure has to be as ‘close to perfect’ as possible.” To initially determine where the electrode needs to be placed in the brain, the neurosurgeon uses CAT scans and MRI scans in coordination with sophisticated computer programs to calculate the starting coordinates. But precise positioning is achieved by recording the electrical activity of the nerve cells in the brain as the electrode is slowly advanced to the desired location. According to Dr. Elmer, each group of nerve cells has its own “language,” so the surgeon can determine the location of the electrode with remarkable accuracy using this technique. “Then, once the electrode is within 99 percent of the precise location, the surgeon can do a test pulse to see, for example, how the patient’s tremor responds. In many cases, the tremor goes away

completely during this first test stimulation,” he adds. DBS is not a cure for Parkinson’s disease. Rather, it’s a very powerful tool used to alleviate the symptoms of this disease in conjunction with medications. In addition, most people who undergo the treatment are able to reduce their medication use considerably, which, in turn, reduces the likelihood of experiencing medication side effects. “But the biggest advantage is that the benefit of DBS is with the patient 24 hours a day, seven days a week, and 365 days a year while medications come and go in the system,” Dr. Elmer notes. “Also, as the Parkinson’s or tremor disorder progresses, we have the ability to adjust the neurotransmitter’s signal output to compensate.” Dr. Elmer estimates that Dr. Junn will perform DBS surgery on approximately 20 to 30 people per year at UTMC. “This procedure isn’t appropriate for everybody, but for those who are good candidates, it can make a tremendous difference in their quality of life. We are absolutely thrilled that we can now offer this remarkable and life-changing service to patients in the Toledo community,” he says. ❦

CALL TODAY (419) 841-9622

Exercise eases symptoms of Parkinson’s disease

ou’ve recently been diagnosed with Parkinson’s disease (PD). Your doctor is discussing what the best treatment options are for you to manage your care, and one of them is exercise. You’re wondering how important exercise is to managing your PD. Exercise has been proven to help alleviate the symptoms of PD and is one of the most important keys to living a full life. It benefits both the physical and psychological well-being of people with PD. With PD, the neurons—the brain cells that produce the chemical transmitter dopamine—are damaged and lost and there is a lag between the time the loss of neurons begins and Parkinson’s motor symptoms start to show. In fact, by the time most people are diagnosed, nearly 80 percent of their dopamine neurons are already gone. During this lag time, the brain is changing. The ability of the brain to change and compensate is called exer-

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12 September 2015 | Healthy Living News

cise-dependent neuroplasticity. On a day-to-day basis, people with PD who exercise can move more normally than those who do not. It is believed that exercise may be contributing to neuroplasticity—helping the brain to maintain old connections, form new ones, and restore lost ones. Continuous research is being conducted on this, and it is showing that exercise may actually outweigh the effects of degeneration. What type of exercise is good for PD? If you’re newly diagnosed, it is a good idea to start by seeing a physical therapist. Because PD affects each person differently, a physical therapist can manage your specific situation and symptoms. Your treatment plan will be developed after an extensive evaluation, which will include many questions about how your PD affects your life, and tests will be conducted to examine your posture, strength, flexibility, walking, balance, and coordination. Some of the medications that are used to manage PD symptoms may have an immediate effect. For example, movement is typically much easier shortly after you begin taking certain PD medications. Your physi-

Toledo Zoo seeking volunteers

he Toledo Zoo is accepting applications for adults interested in volunteering as a member of our Zoo Educator program. This program is a great way for people 18 and over to get involved in the community, learn about animals and conservation, and inspire others to care about wildlife. Zoo Educators (Zoo Eds) work on and off Zoo grounds to engage visitors, assist with educational activities and biofacts (biological artifacts), introduce visitors to live program animals, and offer scripted interpretive programs at key Zoo exhibits. Zoo Eds receive training that focuses on animal science and conservation. These training classes prepare volunteers to lead visitors and students in conversations that help develop connections with animals at the Zoo. In addition, Zoo Eds assist education staff with

classroom programming by visiting area schools and organizations to present curriculum-driven programs, such as Cool Coverings, Animal Needs, Story Safari, and more. Bill Davis, the Zoo’s volunteer manager, says, “The Zoo’s mission highlights the importance of inspiring others to care about nature, and serving as a Zoo Educator provides a unique opportunity for people to fulfill that objective. By engaging with visitors and sharing their enthusiasm for animals and nature, our Zoo Educators have an impact that lasts long after the gates have closed for the day.” For more information about Zoo Eds and other Zoo volunteer opportunities, please visit toledo zoo.org/volunteers or contact Bill Davis at 419-385-5721, ext. 2045 or billdavis@toledozoo.org.

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cal therapist will know how to time treatments, exercise, and activity based on both the schedule and the effects of your medications to get the best results. Once you have completed formal therapy, one of the best fitness programs to continue exercising with is Delay the Disease. This evidence-based fitness program, led by certified Delay the Disease instructors, is designed to empower people with PD by optimizing their physical function and helping to delay the progression of symptoms. The program is geared specifically to counteract the movement challenges experienced by people with Parkinson’s. Sessions are offered one-on-one or in small groups. You can find out more about Delay the Disease at www.delaythe disease.com. Depending on the nature and severity of your PD, starting an exercise program may help you: • Improve your fitness level, strength, and flexibility • Develop more effective strategies to get in and out of bed, chairs, and cars • Turn over in bed more easily • Stand and turn to change

directions more efficiently • Improve coordination while walking and decrease “freezing” • Improve your ability to perform hand movements and decrease tremors • Decrease your risk of falling • Climb and descend stairs and curbs • Do more than one task at a time more efficiently • Participate in activities that are important to you.

Paul Zieger, yoga instructor and a person with Parkinson’s disease, has a slogan: “When you have Parkinson’s, everything is therapy.” What he means is that your activities of daily living—every single one of them—provide you with an opportunity to add a little more grace, a little more strength, a little better body alignment, and a little more safety. Just keep moving! ❦

Kingston HealthCare medical director achieves board certification Dr. Stacey Hoffman

ingston HealthCare Company announces that Stacey Hoffman, MD, has achieved her board certification through the American Board of Physical Medicine and Rehabilitation (ABPMR). The ABPMR plays a leading role in designing higher standards for improving the quality of healthcare to patients, families, and communities. Completing board certification requires a rigorous testing and interviewing process in relation to the physician’s specialization as well as proficiencies in professionalism, patient care and procedural skills, medical knowledge, practice-based learning, interpersonal communications, and systems-based resources. “Having a board certified medical director on staff demonstrates our commitment to Kingston’s clinical quality and to patient-centered care,” states George Rumman, CEO, Kingston HealthCare Company. “We are confident that having Dr. Hoffman, along with a

choose

KINGSTON

FOR ALL THE RIGHT REASONS TIME IS A GIFT TO BE GIVEN TO OTHERS.

“We were delighted when we first saw your beautiful facility. But it was nothing compared to the genuine caring and compassion we felt from the day Dad arrived at Kingston. In no time at all, everyone knew him by name – the dining room staff, nurses,

team of extraordinary nurses, therapists, and nurse practitioners, will ensure that our patients experience the highest level of care within a skilled-nursing environment.” Currently, Dr. Hoffman is based at Kingston Rehabilitation of Perrysburg where she leads the stroke-recovery program and other specialized services that enhance Kingston’s clinical expertise. Dr. Hoffman received her Doctor of Medicine Degree from the University of Toledo College of Medicine, Toledo, OH. She worked as a registered nurse on the medical/surgical floor at the University of Toledo Medical Center (UTMC) while completing her degree. She also completed her residency at UTMC. As a specialist in Physical Medicine and Rehabilitation, she is trained in the treatment of conditions related to the brain, spinal cord, muscles, and bones, spanning from traumatic brain injury (including stroke) to lowerback pain. ❦

aides, housekeeping staff, barber – ‘Hi, Wilbur.’ You really made the effort to get to know him. You took over Dad’s care and helped us all through a pretty tough time. Dad loves living at Kingston. Thanks for taking the time to make sure

”

he feels right at home. Every day is a gift. - Son of a Kingston Resident

Located in Perrysburg & Sylvania SKILLED NURSING | ASSISTED LIVING | MEMORY CARE kingstonhealthcare.com

Connect with our advertisers via our online issue at www.hlntoledo.com | Healthy Living News | September 2015

Tie One On Cancer Awareness Lecture Series

Focus On Lymphedema Prevention & Management Please join us for an evening of education and answers to your questions about lymphedema with

Iman Mohamed,

MD, MRCP (UK), FACP, MPH

Helen Mabry, MD, Krishna Reddy, MD, PhD and area lymphedema therapists who will discuss self massage, exercises, precautions, and treatment expectations

Thursday, October 15 UT Health Science Campus, Radisson Hotel Grand Ballroom

5:30 p.m. Registration & Refreshments 6-8 p.m. Program And Q&A with Drs. Mohamed, Mabry and Reddy

RSVPs appreciated; walk-ins welcome. Free gift bag for registrants! To register: EleanorNDanaCancerCenter@utoledo.edu or call Renée’s Survivor Shop, 419-383-5243

14 September 2015 | Healthy Living News

UTMC seminar to address lymphedema relief options by Brandi Barhite

ymphedema is a painful condition lymphedema are advised to keep that can affect women who have the affected arm or leg elevated undergone, or are undergoing, breast above the level of the heart when cancer treatment that, unfortunately, possible; avoid tight clothing; forgo many woman are never properly the use of a heavy purse on the educated on. affected arm; avoid using hot tubs Those who suffer from lymph- or heating pads; and avoid heavy edema, which is a lack of lymphatic lifting with the affected limb. Howdrainage, experience severe swelling ever, sometimes lymphedema will in their arms or other extremities. occur anyway, and patients need Sometimes it can be so bad that it options for relief. Mohamed said leads to disfigurement. elastic sleeves, bandages, manual “I noticed my left arm was swollen compression, and exercises can help. and it felt heavy, but I didn’t know it was lymphedema,” said Peggy Mercurio, a breast cancer survivor. “I also had lymphedema in my chest wall and in my back. For me, it is more bothersome but not necessarily painful. It just feels very uncomfortable.” On Thursday, October 15, the public is invited to learn about treating this Mercurio uses a compression sleeve condition, which is not exclusive to and massages to ease her discomfort. breast cancer survivors, during a Focus “It is very important for people to on Lymphedema educational night know about lymphedema,” she said. from 6:00 to 8:00 p.m. at the Radisson “I put off the swelling. It would have Hotel on the Health Science Campus been great to know that it wasn’t just of The University of Toledo. The free weight gain.” public lecture is part of the Tie One Kelly Farley, UTMC lymphedema On Awareness Lecture Series hosted therapist, said sometimes people by the Dana Cancer Center. just live with the condition, which Dr. Iman Mohamed, UT professor is unfortunate because relief is posand chief of the Division of Hematol- sible. Other people aren’t educated ogy and Oncology, will be about the possibility of the one of the guest speakers condition and, therefore, talking about the causes, do not follow any of the preventative methods, and precautionary measures to treatment for lymphedema. avoid getting lymphedema. Lymphedema therapists “Lymphedema is not from UTMC as well as Procurable; it is a chronic disMedica, Mercy St. Vincent ease,” Farley said. “Patients Medical Center, Blanchard must be committed to longValley Rehab, and Wood term self-care to achieve County Hospital will be positive outcomes. Through among the experts offering the course of the treatment, Dr. Iman Mohamed advice and support. patients are taught compo“Any patient with lymphedema nents that are necessary to manage can benefit from this lecture, but the lymphedema.” it is especially crucial to talk about Registrations can be made by lymphedema during October because calling Renee’s Survivor Shop at it is Breast Cancer Awareness Month,” 419-383-5243 or by emailing EleaDr. Mohamed said. “Anytime you norNDanaCancerCenter@utoledo. remove or disturb a lymph node, edu. Registration starts at 5:30 p.m.❦ you have the chance to suffer from lymphedema. It can happen imme- Brandi Barhite is a Media Relations Specialist with University of Toledo diately or it might take years.” Those at risk for developing Health. We love feedback. Like us on Facebook. Follow us on Twitter.

nobody’s perfect Sister Karen Zielinski, OSF

What doesn’t kill you makes you stronger

hen the band asked for requests, I should have called out, “What doesn’t kill you makes you stronger.” The refrain is from singer Kelly Clarkson’s hit “Stronger.” The 1976 eighth grade class of Little Flower School in Toledo held a class reunion a few weeks ago. Graduates came from Seattle, Illinois, Texas, Tennessee, Toledo, and Michigan. Hosts Roger and Lyn Tucholski of Monclova Township could not have been more attentive and gracious. The informal get-together offered a Mexican dinner and view of a lake. The live band, “Buddy Love and the Coconuts,” featured class member

Mark Hoffman playing rhythm, lead guitar, and bass. He also sang lead vocals as well as backup. During the event, classmates shared tales of past classroom pranks, tender moments, and frustrations. I was going to say that I was the only adult there that night, but I wasn’t. Forty years ago, that was true. I was a first-year teacher to these creative, hormone-filled students. They were now grownups, and they have had to deal with lots of “stuff ” that happened and was happening in their lives. So many were successful in their varied careers, and a few were grand-

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parents! I went through my usual feelings of “I hope my teaching mistakes did not cause any of you to pay for hours of therapy” shtick, and after about ten minutes, I relaxed and was moved by the strength of so many of my former students. It was 40 years ago, while teaching this first class, that my legs got weak and I was out of my new classroom for weeks, being diagnosed with multiple sclerosis. When the doctor gave me the Xerox sheet of paper explaining MS with a paragraph, I thought I was one of “Jerry’s Kids” and had muscular dystrophy. I learned about my disease since that day. My students told me that they

were impressed with how I handled my disease in these years. I drove to the reunion that day and brought my portable aluminum ramps, which I use to get in and out of a house. I always keep them folded in the back of my hand-controls-and-rampmodified van. But they were wrong. They were the young generation who had stories that touched me. One alum spoke of his younger brother who died after living with cystic fibrosis. His brother had undergone many medical procedures, had a lung transplant, and experienced a tough quality of life with the disease. I was moved by the engineer’s deep sense of respect and love for his brother’s suffering. Another alum, Debbie Kreuz Schmidt, mentioned that she had just returned from the Cleveland Clinic where she spent three days undergoing diagnostic tests and other medical procedures and doctors’ consultations. I sat next to her later and asked about her medical status. She told me, “I was just diagnosed with early-onset Alzheimer’s and am still undergoing more tests to come to a final, more accurate diagnosis. Positive attitude is the number one thing for me, along with having

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friends and family.” She said it was fine that I share her story. Many told me about their siblings who died of cancer, about aging parents now living with them or needing more daily assistance. As years go on, roles change and children become caregivers for parents who once cared for them. Other students mentioned that they were suffering from rheumatoid arthritis or cancer. One lovely alum told me that she and two other members of her family lived with depression and other mental illnesses. There were many tales of health challenges and financial stress. What moved me was how the group all seemed to handle it. They were committed to family and loved ones and were creative in their response to a disease, or were proactive by seeking knowledge that gave them power to help. Denise and Mark Vinciguerra, wanting to help their now grown special-needs daughter, responded quite creatively. They created St. Isadore Farms ( http://www.st-isidorefarm.com), whose mission is devoted to agriculture and community. The Monroe, Michigan farm of 55 acres partners with Helping Hands of Monroe and other organizations that work closely with persons with special needs. There are horses and alpacas on the farm. Participants work with all aspects of alpacas (quality breeding, fleece marketing, plus equine facilities). The farm is managed daily by the “Special Team” members where the 55 acres are divided up into Alpaca, Equine, Harvest, and Social areas. Each area has a “Special Team” assigned

to the daily farming chores associated with each area. Each team has their own Skill Coach provided by Goodwill Industries in partnership with Community Mental Health. The skills learned daily allow team members to grow in ability as well as socially. Everyone at the reunion had their own medical history full of challenges. What impressed me at this gathering of young adults was their resilience and positive, even spiritual, way of responding to tough things in their lives. The way the Little Flower Class of ‘76 responded to their health challenges seemed positive, proactive, and creative. This class vibrated with hope. I personally do not care for the phrase “They fought cancer, diabetes, etc.” It seems like we waste too much energy in a negative response. I prefer “They embraced their disease.” It seems a more positive, creative way to live with a health challenge. We all will be a patient someday. How we respond to it is the critical thing. Kelly Clarkson got it right: “What doesn’t kill you makes you stronger. Stand a little taller.” We all should learn that song! ❦ Sister Karen Zielinski is the Director of Canticle Studio. Canticle Studio is a part of the Sisters of St. Francis of Sylvania, OH’s overall advancement effort and has a mission of being a creative center where artists generate works, products, and services in harmony with the Mission of the Sisters St. Francis. She can be reached at kzielins@sistersosf.org or 419-824-3543.

Local businesses offer community and social opportunities for adolescents with autism

ittersweet Farms is accepting applications for the new Social Living Club (SLC). The SLC is a recreational program that will provide community activities for adolescents with Autism Spectrum Disorders. The SLC has partnered with Julie’s Fitness Studio in Whitehouse to offer yoga classes on Monday nights beginning September 28, 2015. The cost is $72 for a six-week session ($12 per class). Owens Community College is partnering with the SLC to offer a fiveweek cooking course for adolescents with autism. The cooking classes will begin in November of 2015, and the cost is $150 for a five-week session.

These courses will focus on fundamental cooking techniques that can be used across an assortment of recipes. The classes will be two to three hours in length and will help participants develop and master skills in kitchen safety, cleaning, food ingredients/ shopping, nutrition facts, cooking techniques, and tastings. The classes will be taught by Dietetic Technology Students and/or Culinary Students from Owens Community College. Scholarships are available through Bittersweet Farms. For more information, contact Heidi LeGrand, Community Outreach Specialist, at 419-875 6986, ext. 1204 or hlegrand@ bittersweetfarms.org. ❦

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: I woke up a week ago and couldn’t hear out of my right ear, but I didn’t realize the severity till I tried to hear on the phone. I’m thinking it might be wax in the ear. What should I do?

: Hearing loss affecting one ear occurs more often than is even acknowledged. Because the hearing on the opposite ear is much better, so many continue on with their life for a long time before they do anything about it. The majority of the time, it’s patients who experience a sudden hearing loss and realize what they are missing who want to fix the problem. People having what we call a unilateral hearing loss may start showing difficulties hearing and understanding

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conversational speech in group environments and being able to localize the direction of sound. The lack of one ear really is the number one cause of misunderstanding speech with noise in the environment. We literally need both ears to hear and understand as well as possible. This hearing loss is also known as unilateral deafness. It may be described as deafness in one ear or on one side, hearing loss in one ear, or inability to hear from one ear. But whatever the description, you should be able to hear clearly with your other ear. It is important to contact your doctor if you experience a sudden hearing loss. If you have difficulty

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Also remember that as we age, we lose our hearing in a natural way, developing into a sensorineural hearing loss treated with hearing aids. Some causes, such as wax buildup or ear infections with fluid buildup, are treatable, and the hearing will

• Acoustic neuroma—a type of tumor that affects hearing • Beriberi—a disease that occurs from lack of vitamin B1 • Brittle-bone disease • Eardrum rupture • Labyrinthitis, which causes the ear to become swollen and irritated • Meniere’s disease, which affects the inner ear and eventually leads to deafness • Middle ear infection • Neurofibromatosis type 2—an inherited disease in which noncancerous growths appear on the auditory nerve that carries information from the inner ear to the brain • Otitis externa (swimmer’s ear)—inflammation of the outer ear and ear canal • Otitis media with effusion— thick or sticky fluid behind the eardrum • Paget’s disease of the bone • Reye’s syndrome • Shingles

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go back to its normal state once the cause is eliminated. On the other hand, there are some that will not improve, such as:

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reaching your physician, don’t stop there! You need to seek help right away. Calling your friendly community audiologist will definitely confirm the hearing loss and keep the process going. Most have a relationship with an otolaryngologist and may be able to secure a visit quickly. Sudden hearing loss is a medical emergency and needs immediate medical attention. Depending on the cause of your hearing loss, your doctor might recommend medications, surgery, or a hearing aid. In some cases, the condition will go away, but it won’t be known unless you seek medical treatment. There are many possible causes of unilateral hearing loss, including:

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• Temporal arteritis— inflammation and damage to the blood vessels in the head and neck • Vertebrobasilar insufficiency— poor blood flow to the back of the brain. In some cases, a medical condition requires live-saving medications that can harm hearing. Examples of these strong drugs are chemotherapy drugs, diuretics, and certain antibiotics, such as streptomycin and kanamycin, just to name a few. As always, taking care of your hearing health is our concern, so don’t hesitate to reach out and get your questions answered. ❦ Randa Mansour-Shousher, AuD, CCC-A, is a Doctor of Audiology with Northwest Ohio Hearing Clinic, located at 1125 Hospital Dr., Suite 50 in Toledo (419-383-4012) and 1601 Brigham Dr., Suite 160 in Perrysburg (419-873-4327).

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• A Monday through Saturday session takes place August 17– 22, from 9:00 a.m.–4:00 p.m. • Tuesday/Thursday evening classes run September 8– October 15, from 6:00–9:00 p.m. • Saturday sessions run October 17–November 21, 2015, from 9:00 a.m.–4:00 p.m. To register for any of these sessions, please call 419-213-3336 or visit www. lucaskids.net. Qualifying to be a foster or adoptive parent is easier than you think. You... • Must be at least 18 years of age to adopt, 21 to become a foster parent • Can be married, single, or in a relationship • Can own or rent a home with at least two bedrooms • Can work outside the home • Must demonstrate a source of income sufficient to care for yourself • Need a safety inspection for your home • Must agree to a background check • Will receive free training • Will receive financial support based on your child(ren)’s needs. About Lucas County Children Services The mission of Lucas County Children Services is to lead the community in the protection of children at risk of abuse and neglect. This is accomplished by working with families,

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ucas County Children Services (LCCS) needs foster families and is offering three upcoming sessions of classes to help individuals and families to become licensed foster/ adoptive caregivers. LCCS is seeking families willing to foster children of all ages, particularly young children and groups of three or more brothers and sisters who have been victims of abuse or neglect. The agency provides free infor-

mation and training classes at its offices, located at 705 Adams Street in downtown Toledo. Classes are scheduled to accommodate a variety of schedules:

If you’ve thought about becoming a foster parent, it’s time to take the next step. The kids need you! Becoming a foster parent starts with asking questions and getting accurate information.

Sign up now for our next training classes: One Week: August 17 – 22, 2015 9 a.m. – 4 p.m. Classes are held at the LCCS training center, 705 Adams St., in downtown Toledo.

Talk to your family about fostering...and then register for the free training program. In exchange for providing a caring home to a child, you might find yourself with the next video football champion (or scientist). We’ll provide the free training and resources you need to become a foster parent, along with ongoing financial and other supports to help your family welcome a new member. To learn more, call 419-213-3336, visit us online at www.lucaskids.net or find us on Facebook at www.facebook.com/LucasCountyChildrenServices.

18 September 2015 | Healthy Living News

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service providers, and community members to assess risk and coordinate community-based services resulting in safe, stable, and permanent families for children. ❦

Is it about the "A" or the "W"? by Mark S. Faber, USPTA Elite Professional

ith school starting this month, I thought I would approach this article from both an academic and athletic angle. Some of the readers might ask how these two worlds can mesh together. Simply put, it comes down to how things are viewed and valued. Let me start by defining what “A” and “W” are. “A” stands for the highest letter grade kids are given, and “W” stands for “win.” These two items tend to be what kids are judged on 100% in today’s world. Schools are judged on a variety of standardized tests. Even more so, the ACT and SAT seem to be what people view as the golden ticket to college. As a coach, when I ask the parents of young children how a match went, usually the first words out of their mouths— or even the child’s mouth—is they either won or lost. These are simply outcomes and really do not capture the effort. These results are based largely on things that many times are uncontrollable. Now, to be clear, I do not want readers to believe results mean nothing to me, for that is not true. My point is, if the focus is 100% on the result, the fun of the journey and the process will be lost. These two things are key to putting oneself in the best possible position to get the “A” or the “W.” So, how does one step back and focus more on the process and less on the result as the driving force? Well, you set goals. There are two types of goals: outcome (what you can’t control and reflect your dreams) and

performance (what you can control and guide you in trying to reach your dreams). When too much focus is placed on the outcome, the “A” or the “W,” then many times it creates an unenjoyable environment for all involved and, especially in younger kids, creates low self-esteem if they do not reach the desired outcomes (many times in the eyes of Mom, Dad, and/or Coach). Would you like to continue with something if you were always told it was not good enough based on an outcome and many times not even what your goal might be? The challenge I pose to the readers is a reference back to my last article: How can we keep the “F Word” (fun) going while helping children strive for their outcome goals? (Notice, I said their outcome goals.) This is simply put: acknowledge the accomplishment of the performance goals. The more the process is acknowledged, the greater the child’s sense of accomplishment and the more likely that he or she will either reach or get closer to the outcome goals. Focusing on the performance should, and often does, lead people to work harder, and if this can be established at a young age, it will stick with the individual for a lifetime. Once again, let me be very clear: I do not believe that every child should get an “A” or win a trophy. What I am saying is the “A” or the trophy should not be such a focus that it creates stress and anxiety and the child feels that he or she can no longer perform in the classroom or on the athletic field. Let us help kids learn what hard work is—the process of working towards smaller goals in an effort to accomplish the bigger goals. This becomes a win/win for everyone. In closing, I challenge readers to sit with their kids and set some performance goals as well as some outcome goals. If they are athletes, do the same for their sports. Then, when you become frustrated with the outcome of a test or sporting event, take a step back, review the performance goals, and see if they were accomplished or the child at least made strides toward them. If they were, then maybe it just was one of those days. If not, just reset and go on towards achieving them. Once again, a win/win situation. ❦

Stephanie L. Speck, M.Ed., LPCC-S Clinical Manager Youth Community Based Services

Breaking Stigma with Mental Health First Aid Crazy, psycho, lazy, different are just a few words heard in the community describing individuals with mental health issues. These words are related to a concept called “stigma,” which can elicit shame, fear or uncertainty about mental health problems. Being able to break stigma barriers in mental health was a motivator for me to be trained to instruct Mental Health First Aid (MHFA) with a focus on Youth and Adults. With this training, I was able to learn and communicate a five-step action plan to help the general public how to help loved ones, colleagues, neighbors, and others cope with mental health problems. Similar to traditional First Aid and CPR, “Mental Health First Aid is help provided to a person developing a mental health problem or experiencing a crisis until professional treatment is obtained or the crisis resolves.” This help and understanding can be critical to a person experiencing mental health symptoms and can save lives. National Counsel for Community Behavioral Healthcare states, “Mental Health First Aid has strong evidence backing it. Three quantitative and one qualitative studies have shown that the program: (1) improves people’s mental health, (2) increases understanding of mental health issues and treatments, (3) connects more people with care, and (4) reduces stigma.” Through this training, Harbor’s goal and my goal is to alleviate stigma with evidenced based knowledge and understanding of mental health issues. Therefore, a trained person will be equipped to connect people with care and respond with empathy and understanding. These actions can then be a catalyst to a person with mental health issues to begin the process to improve their health and well-being. If you would like more information about Mental Health First Aid, please email MHFA@harbor.org. We hope to see you at a training soon!

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Connect with our advertisers via our online issue at www.hlntoledo.com | Healthy Living News | September 2015

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20 September 2015 | Healthy Living News

ith any medical concern, the sooner professional care is sought, the better the outcome and the lower the likelihood of the problem becoming worse and having a greater impact on the individual’s quality of life. Unfortunately, too many people are reluctant to see healthcare practitioners for their complaints because they’re worried about the potential out-of-pocket expenses, they can’t devote hours of their already overloaded schedules to sitting in a waiting room, they’re unsure what services and doctors are covered under their insurance, or they simply don’t like being treated like a “number ” by a harried doctor and office staff. Of course, many healthcare providers today are just as frustrated as their patients. Owing to a variety of factors, they’re under ever-growing pressure to see more and more patients and limit the duration of each appointment. “I didn’t go to school in order to sell services,” explains Dr. Nickalis Dumas of Rapid Relief Chiropractic Center. “I went so I could supply an abundance of information and provide the best healthcare possible—and that’s very difficult under the current healthcare model.” To ensure his patients are never limited in the care or number of visits they can receive because they have trouble getting pre-authorizations, certain services aren’t covered, or his practice isn’t in a particular insurer’s network, Dr. Dumas is transforming Rapid Relief Chiropractic Center to a five-practitioner concierge office, called Elite Concierge Medical (soon to be located at 5415 Monroe Street), that combines comprehensive primary care and chiropractic services under one roof. Under the concierge concept, patients pay a modest monthly membership fee for 24/7 doctor access, guaranteed same-day appointments, on-site blood panels, and a full range of primary care services, such as physical exams, sports physicals, x-rays, EKGs, laceration suturing,

casting, mole removal, treatment of sinus and ear infections, and much more. Elite Concierge Medical will also feature an in-house pharmacy offering discounted medications. What’s more, the practice’s patient load will be kept intentionally small so doctors can spend as much time as necessary with each patient. In fact, according to Dr. Dumas, the average visit time for concierge patients nationwide is 20 minutes.

“Whatever you see a primary care physician for, we can provide. Plus, we’re including chiropractic care in the price of membership. You’ll never have to be uncertain of what insurance covers again because at Elite Concierge Medical, all primary care and chiropractic services are covered. For example, if you experience a minor laceration late on Sunday night when all the urgent care centers are closed, you can call us instead of going to the emergency room and potentially racking up a huge bill. We’ll then meet you at the office and sew you up for free. Think of it as primary care and chiropractic working together for your optimal health 24/7—but at a price that’s very affordable and with no deductibles or co-insurance,” explains Dr. Dumas. Also, because concierge medicine maximizes the availability and affordability of primary care while eliminating any uncertainty related to coverage, patients are less likely to self-diagnosis through sources like WebMD and self-treat with over-thecounter medications—practices that can sometimes lead to very serious conditions going unrecognized and untreated. Not to mention, joining a concierge practice helps eliminate the leading cause of personal bankruptcy in our nation—spiraling healthcare costs. Elite Concierge Medical’s monthly

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Primary Care + Chiropractic Under the concierge concept, patients pay a modest monthly membership fee for 24/7 doctor access, guaranteed same-day appointments, on-site blood panels, and a full range of primary care and chiropractic services ALL UNDER ONE ROOF! The practice’s patient load will be kept small so that doctors have the time necessary to spend with each patient. For added convenience, there is an in-house pharmacy that will offer discounted medications. .

“If you truly love your family, better health is the best gift you can give them. Start by living a healthier and happier life all year long.” Dr. Nickalis Dumas

Every Tuesday and Thursday, Elite Concierge Medical offers informational sessions to explain the concierge concept and the services they provide. To register for a session, please visit www.ecmtoledo.com Coming Soon to 5415 Monroe Street | 419.474.6500

Connect with our advertisers via our online issue at www.hlntoledo.com | Healthy Living News | September 2015

Rehabilitation Services designed to get patients back to living. Heartland skilled nursing and rehab centers provide a comprehensive regime of specialized rehabilitation services, each one designed to move you one step closer to your recovery goals. Recovery begins with our state-of-the-art rehab gym where our team can treat patients recovering from orthopedic injuries, stroke and neurological, cardiac, oncology and pulmonary issues.

membership fees are $19.99 for children up to age 10, $39.99 for patients age 11 to 27, $79.99 for ages 27 to 41, $89.99 for ages 41 to 66½, and $99.99 for those over age 66½. Corporations are also encouraged to take advantage of the affordable, 24/7 services that Elite Concierge Medical offers. According to Dr. Dumas, businesses will see their costs drop not just because of the low prices of the services they offer, but also due to a reduction in time lost on the job. The practice will have the flexibility to send physicians and medications directly to the worksite

and the capability to treat patients over the phone or by Skype. “As I see it, this is just the level of care and commitment patients deserve,” Dr. Dumas states. “Instead of being treated like a number, why not be part of Elite Concierge Medical and start being treated like the individual you are?” ❦ Every Tuesday and Thursday, Elite Concierge Medical offers informational sessions to explain the concierge concept and the services they provide. To register for a session, please visit ecmtoledo.com and click “Enter.”

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Be allergy-alert this back-to-school season

ending kids back to school demands a lot of preparation on the part of parents—buying new clothes, stocking up on supplies, reestablishing routines, etc. Parents of children with allergies also need to take precautions to help protect them from experiencing an unpleasant—or potentially life-threatening—allergic reaction while they’re in the school environment and out of their direct supervision. Being allergy-alert means first being aware of what triggers your child might encounter in back-toschool season. Of course, parents of kids with recognized food or insect allergies are usually well aware that these dangerous triggers may be present in the lunchroom or on the playground. But another allergen

that, unfortunately, makes its presence known just as the school season kicks off is ragweed pollen. According to Toledo Clinic allergist/ immunologist Dr. Binod Thakur, current president of the Toledo Allergy Society, “Ragweed pollen usually starts to appear in our part of the country by the end of the first week of August. It’s a highly allergenic pollen that is produced in very large amounts and can travel in the air for miles and miles, so it doesn’t need to be in your back yard to affect you.” Common symptoms of ragweed allergy include nasal congestion, sneezing, itchy/runny nose, coughing, eye irritation and puffiness, and headaches. This potent pollen can also trigger asthma and lead to sinus infections in predisposed

individuals. Dr. Thakur says that Ragweed-sensitive kids usually start to show symptoms around Labor Day or just after Labor Day weekend—just as they’re going back to school. Ragweed allergy symptoms can often be managed through the use of antihistamines, and allergy immunotherapy (allergy shots) is a very effective means of control. Dr. Thakur points out that the FDA just recently approved oral immunotherapy in tablet form for treating ragweed allergy as well. “You need to start immunotherapy three months before the onset of ragweed allergy season, so it’s too late for this year,” he says. “But it’s something parents with ragweed-sensitive kids should discuss with their doctor so they can be better prepared for next year.” Dr. Thakur also emphasizes that ragweed-sensitive kids who have asthma must keep their rescue inhaler on hand at all times. If you know your child is allergic to a certain food—the most common culprits being milk, eggs, soy, wheat,

peanuts, tree nuts, fish, and shellfish— now is the time to make sure his or her injectable epinephrine device is renewed and up to date. Dr. Thakur also recommends making sure the school nurse and other school staff are fully apprised of your child’s specific trigger(s), symptoms to watch for, medications they need, and what to do in the event of a reaction. Most schools have particular forms for this purpose that parents can fill out with their doctor. The website foodallergy.org also offers a Food Allergy & Anaphylaxis Emergency Care Plan that parents can fill out and take to the school. Dr. Thakur explains that the symptoms of food allergy can involve the skin, stomach, respiratory system, and cardiovascular system and range from mild to severe. But the greatest concern with any food allergy—as with insect allergies—is the potential for life-threatening anaphylaxis, which can cause a constellation of symptoms, including itching and hives over large areas of the body; swelling of the throat, tongue, face, or other parts

Binod K. Thakur MD, FAAAAI, FACAAI

Certified by American Board of Allergy and Immunology Fellow of American Academy of Allergy, Asthma and Immunology Dr Thakur offers a full spectrum of services for diagnosis and management of complex or recurring immunological and allergic conditions including, but not limited to: • Sinusitis, hay fever, asthma, eczema, hives and immune deficiency • Allergic reactions to foods, drugs, chemicals, latex, insect stings and others • Blood and skin allergy tests for pollens, dust, molds, animal dander, foods and drugs • Expanded patch test panel for allergies to metals, cosmetics, chemicals, orthopedic/dental implants and other contact allergens • Ingestion challenge test for foods and drugs • Spirometry end exhaled nitric oxide test for asthma • Allergy shots as well as oral immunotherapy/desensitization for pollen, dust mites, mold, animal danders, stinging insects, aspirin and other drugs For any allergy concerns consult Dr. Thakur, a Board Certified Allergist with over 20 years of experience.

Contact his office to set up an appointment. 4235 Secor Road Building 3, 2nd Floor Toledo, OH 43623

6800 West Central Avenue Suite J Toledo, OH 43617

P: 419.479.5485 F: 419.479.5480 www.ToledoClinicAllergy.com

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of the body; difficulty breathing due to the throat closing or chest tightness; dizziness; and gastrointestinal problems, such as stomach cramps, nausea, vomiting, or diarrhea. Having asthma places food-allergic children at higher risk of experiencing a life-threatening episode. “Anaphylaxis can quickly progress to falling blood pressure, leading to shock and loss of consciousness. This is a medical emergency and can be rapidly fatal. If a child experiences anaphy-

laxis, he or she must be treated with auto-injectable epinephrine and 911 must be called for emergency help immediately,” Dr. Thakur advises. The good news is, most schools have excellent protocols and policies in place that not only help them provide a safer environment for children with food allergies, but also encourage parents to make sure their kids are equipped with any medications they need. “Furthermore, the Toledo Allergy Society is

very active in collaborating with area schools and providing educational sessions to ensure they’re fully updated on food allergies. “We’re also planning to have future meetings that will be open to concerned parents as well as school nurses so they can be more proactive when it comes to managing kids’ food allergies,” Dr. Thakur says. ❦

Answers to crossword from page 22 1

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For more information on food allergies or to download a Food Allergy & Anaphylaxis Emergency Care Plan, visit www.foodallergy.org.

D 17

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D A T E

EAT HEALTHY, SLEEP MORE, DRINK WATER AND GET MOVING! Mercy Children’s Hospital and Kohl’s Cares believe that fostering positive behaviors in health and nutrition will help children be healthier and happier. We’ve teamed up to offer parents and other caregivers’ practical advice on raising healthy children. Kohl’s Kids in Action is focused on four valuable steps that are important to better health: good nutrition, increased physical activity, proper water intake and good sleep habits.

Take a walk! It’s healthy and relaxing! It’s good for the whole family! And … it’s FREE! Taking a family walk is a great way to spend quality time with your kids. Preschoolers can ride along on their bike or tricycle. Benefits of regular walking: • Improves cholesterol levels • Lowers blood pressure • Lowers blood sugar • Reduces diabetes risk • Improves mood • Keeps you strong and fit You can walk anywhere; at the park, the mall or the art museum. Kohl’s Kids in Action offers free obesity prevention education to area elementary school or at health fairs. For more information, call Kohl’s Kids in Action at 419-251-1246 or visit us online at kohlskidsinaction.org.

24 September 2015 | Healthy Living News

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Local pastor gets back in the pulpit with help of The Laurels and NASA technology

hen Mike and Janice Brewer departed for Fort Lauderdale, Florida this past spring, they had no idea their lives were about to take a dramatic turn for the worse. On April 23, just six days into their planned 17-day vacation, the two were struck by a motorist as they were leaving the beach and attempting to cross State Route A1A. Mike, the pastor at Bible Temple Family Worship Center for the past 38 years, says that he and Janice, his wife of 47 years, had just finished an enjoyable day of fishing and were waiting at a stoplight to cross, fishing rods and beach chairs in hand and a cooler in tow. “We stood there for about 15 minutes waiting for the light to change, but it never did,” he recalls. “So, we looked in both directions, saw that no one was coming, and decided to cross. When we were hit, I couldn’t believe it. I just heard a loud bang and felt the ice chest being jerked from my hand. The next thing I knew, I was waking up on the asphalt

and a woman from Oklahoma, who identified herself as a nurse, was saying, ‘Please don’t move!’ Janice was already in the ambulance at that time.” The impact shattered both of Mike’s legs, but it was Janice who took the brunt of it. She experienced a head injury, brain bleed, and broken wrist and had to be placed on a ventilator and feeding tube. Both underwent multiple surgeries to treat their extensive injuries and were hospitalized until mid-May. They then transferred to a skilled nursing facility, where they remained until both were deemed medically

stable enough to travel. In early August, they finally arrived back in Toledo and were admitted to The Laurels of Toledo to begin inpatient rehabilitation. “Once we got here, it was like moving from hell to heaven,” Mike says. “The nursing facility we were in down in Florida was old and dirty and the staff there was indifferent and didn’t provide anywhere near the level of care we’ve received here. While I was there, I lost 36 pounds, but in the short time I’ve been at The Laurels, I’ve put on six pounds because the food is so good.” According to Laurels physical therapist Lynne Nidek, Mike couldn’t bear weight until about a week before

coming to The Laurels, and he wore specialty braces on his legs. In his first week at The Laurels, he regained the ability to walk short distances with the help of a walker, but he did so while hunched over and with his arms supporting much of his body weight. To help correct Mike’s poor body mechanics, the Laurels team was able to take advantage of the AlterG® Anti-Gravity Treadmill®, a highly specialized rehab treadmill based on NASA technology that was on site for a trial period. With the AlterG, patients with limited ability to bear weight are zipped into special pants attached to the treadmill. Air is then used to unweight their legs and bodies so they can get on their feet and walk in a normal position more quickly. “Mike was a perfect candidate for the AlterG, so we did a trial with him last week. He was soon able to stand up straight and walk with a

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normal gait. At one point, he was even able to let go of the hand rails while walking,” Lynne says. Mike comments that if he’d had access to the AlterG two months ago, he would have been out of his braces and potentially on his feet and walking much sooner. Just 10 days into his rehab program at The Laurels, Mike was doing stair work and had greatly increased his endurance and the intensity of his workouts. What’s more, at the time of this writing, Mike had been back in church preaching—albeit in a chair—on two consecutive Sundays (at one of those services, he preached, appropriately enough, “Sweetness in the midst of bitterness”). He was scheduled to go home the same day he was interviewed for this article. After completing home care, provided by Interim and the Laurels’ rehab staff, he will return to The Laurels for outpatient rehab. The facility will be doing a couple-month trial of the AlterG at that time, so he’ll be able to continue working with it. His next goal is to walk without a cane by Chrismas. Janice, whose injuries were much more severe, still has a long rehab

•

journey ahead, but she continues to make great progress. Working to overcome a speech deficit stemming from her head injury, she recently shocked her physician by greeting him in a complete sentence. ❦

The Laurels of Toledo accepts Medicare, Medicaid, and all private commercial insurances. A physician’s order is required to obtain outpatient services. For more information, call 419-536-7600 or visit www.laurelsoftoledo.com.

Heartland Rehab’s September health tips by Jim Berger

eptember is another busy month with school just starting, fall sports kicking off, and September 14-20 marking Balance Awareness Week! Let me talk a little about all three.

Sustain your healthy meal plan! School is back in session and schedules are hectic. Most of us did well over the summer, having planned our meals with healthier choices and a more consistent schedule. But now that we are back in school, we will start having dinners on the go. We need to make sure our kids are eating well-balanced meals throughout the day. Breakfast is important for all of us if we want to start our day on the right foot. That high-sugar cereal

may seem quick and easy, but it is not the healthiest option to start the day. We need some protein to kick the morning off. Also, make sure you include fruit, vegetables, some protein, and healthy fats in your kids’ lunch. Keep snacks simple with nuts, fruits, or vegetables. Finally, try to make dinner as much of a family event as possible and limit the fastfood experience.

Sideline those sports injuries! Football, soccer, and volleyball are the big three fall sports. They’re also the big three for injuries resulting in concussion and many knee injuries. What should you do when a concussion happens either in a sport, at school, on the playground or at

home? Pull your child from that activity; don’t let them continue in that activity until the concussion has been addressed correctly. Monitor for concussion symptoms: headache, dizziness, sensitivity to light and noise, difficulty concentrating, and forgetfulness are some of the major signs. Get in to see your physician as soon as you can. You know your kids and how they act; if behavior has changed significantly or if you are not comfortable waiting to get in to see their doctor, go to the emergency room. If the concussion happened during a sporting event, game, or practice, your child will not be able to return to that sport until they are cleared to return by their physician. Heartland Rehabilitation Services can help with the return to play and return to school. Heartland Rehabilitation Services’ clinicians are all certified in concussion management. Heartland offers a Return to Play or School Program and a Post Concussive Rehabilitation Program for individuals whose signs and symptoms last greater than a week. Call Heartland Rehabilitation Services if you have questions about concussions. (cont. next pg.)

Unsteady on your feet? Feeling Dizzy? Everything Spinning?      -20, 205  ♦  ♦  ♦ 

 

Arrowhead 419.897.9822 Oregon 419.697.8000 Perrysburg 419.874.2657 Westgate 419.536.8030 Bedford 734.856.6737 Contact Center 800.699.9395 Therapy for Today, Wellness for Life!sm www.heartlandrehab.com Connect with our advertisers via our online issue at www.hlntoledo.com | Healthy Living News | September 2015

Stop the world from spinning! Finally, does your world seem to spin sometimes? Have you ever complained of being lightheaded, dizzy, woozy, or unsteady on your feet? If so, you are not alone. This type of complaint is the second most common seen by primary-care physicians next to low back pain. What is the problem? Is it balance? Dizziness? Vertigo? What can be done to stop the problem? Who can help? Balance is the ability to maintain the body’s center of mass over its base

of support. Good balance is often taken for granted. However, with impaired balance, such simple activities as reaching for an object above our head or in front of us, walking, or transitioning from a wood or tile floor to carpeting can be extremely fatiguing and sometimes dangerous. Vertigo is feeling as though you or the world is spinning—at times out of control. True vertigo

is caused by the vestibular system, which is one of the components of the sensorimotor control system. The vestibular system is a grouping of fluid-filled tubes located in the inner ear. These tubes give the brain information on how the body moves through space. As the body moves, the fluid in the tubes tends to stay relatively still. You have two of these groupings of tubes, one in each ear.

As long as they are working correctly, everything is fine. Vertigo occurs when the two groups do not agree. Maybe one side is infected. Maybe it has been damaged in a trauma. Maybe the signal from one side isn’t making it to the brain or is being heard wrong due to some central nervous system illness. Regardless, the brain becomes confused and creates this feeling of vertigo. The most common cause of vertigo is Benign Paroxysmal Positional Vertigo (BPPV). Problems with balance, dizziness, and vertigo can be treated in different ways. Physical therapy can treat all three very effectively, as BPPV responds very well to physical therapy. The treatment for this condition is to move the vestibular system through a series of specific movements. This treatment is performed by a physical therapist trained in treating vestibular issues or by a physician such as an ENT. Balance issues, dizziness, and vertigo all increase fall risk. Other factors that may contribute to fall risk include age, arthritis, mental status, foot problems, medications, low blood pressure, weakness (especially in the lower extremities), vision/perceptual problems, and unsafe home environment. Physical therapists treat many of these areas of fall risk.

Prevent falls in the home! Your home should be a safe, comfortable refuge, but getting too complacent can lead to a painful or debilitating fall—even in familiar surroundings. Here are some suggestions for keeping you safely on your feet at home. Clear a path and shed light on the subject: Assess all your pathways to ensure they are free of clutter and tripping hazards (e.g., throw rugs) and that furnishings are positioned to allow easy, unimpeded movement through rooms. Pay special attention to the path from your bed to the bathroom because you may be groggy, bleary-eyed, and unsure on your feet while walking this path in the middle of the night. Also, give your home’s lighting a critical look to determine whether you need to boost your illumination with additional fixtures or brighter bulbs. Make sure you can reach a light switch from the vantage point of your bed, and utilize plug-in nightlights to brighten up the path from your

28 September 2015 | Healthy Living News

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h alt he . od nts go me ow o r h ’s m ve ife co f l dis ll o l. to a el 0877 njoy e w 13- ou e Liv 0) 4 p y e. 80 el lif at ( n h ur us ca yo Call ind m It’s of ce ea dp an MedMutual.com/YourHealth © 2014 Medical Mutual of Ohio

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bed to the bathroom. Identify “fall zones”: The risk of falling is much greater in some areas of the home than in others. For example, the bathroom, with all its wet, slippery surfaces, is a notoriously dangerous fall zone. Non-skid mats or self-stick strips on the floor of the shower or tub are a must. Grab bars located near the tub and toilet are also recommended. Floor mats should be non-skid—and never substitute bath towels for floor mats. Stairways are another well-known fall zone. Avoid placing any items or allowing clutter to accumulate on the stairs, and never place throw rugs near stairs. A sturdy, easy-to-grip handrail—preferably located along both sides of the stairs—will help you maintain balance. Make sure stairways are properly illuminated with light switches at the top and bottom of the staircase. If the stairs are carpeted, make sure the carpeting is properly tacked down. Consider installing stair treads or using nonskid tape on slippery stairs (e.g., wood or linoleum). Keep it clean: Never leave clutter on the floor.

13-21 BG Health Fall Jan's 2013_Layout 1 10/18/13 11:46 AM Page 22

Keep things in reach: Keep regularly used items within arm’s reach. Watch your footwear and take it easy: Make sure your shoes provide good traction. You can also do your part to prevent falls by learning to move more slowly and deliberately in the home—especially when getting out of bed, moving from a sitting to standing position, going up or down stairs, and stepping into and out of the tub or shower. Take good care of yourself: Getting appropriate nutrition, exercise, and sleep will go a long way toward minimizing your fall risk. Call to arrange your screening and to stay fall free! ❦ Heartland Rehabilitation has five locations in the Toledo and Bedford Michigan areas with knowledgeable staff to assist with your physical and occupational therapy needs. If you have any questions about Heartland Rehabilitation Services or how physical and occupational therapy can benefit you, please feel free to contact Jim Berger at 419-787-6741 or visit www. heartlandrehab.com.

13-21 BG Health Fall Jan's 2013_Layout 1 10/18/13 11:46 AM Page 22

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hen treating any patient diagnosed with a chronic illness, such as diabetes, addressing the physical impact of the disease is only one-half of the equation. The other half is dealing appropriately with the mental-health issues that often go hand-in-hand with chronic illness. However, under traditional care models, the medical and behavioral aspects of disease treatment tend to be compartmentalized and fragmented, making it difficult for patients with mental-health needs to access the services that lead to optimal outcomes. To help eliminate this disparity, ProMedica and Harbor recently formed a Joint Operating Company with the goal of integrating medical and behavioral-health services in our community while removing barriers that discourage patients from seeking mental-health care when necessary. As an example of that collaboration, ProMedica and Harbor have

co-located licensed social worker Stephen Gonce at ProMedica’s Diabetes and Endocrine Care Center to provide behavioral-health support for patients there. “With any chronic illness, especially a diagnosis like diabetes, there’s a high incidence of mental-health issues, most commonly depression,” Gonce says. “Unfortunately, mental health is still largely stigmatized, so these patients often fail to pursue treatment. Furthermore, the first point of control for mental health is often the patient’s primary-care doctor or a specialty physician. But when doctors refer patients to a place like Harbor, the drop-off rate is considerable. Upwards of 70 to 80 percent of these patients never follow through with treatment. We’re trying to open up access and eliminate these barriers through this co-location project.” Gonce says that having a behavioral-health presence at the Diabetes and Endocrine Care Center is exciting

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from several perspectives. One is Integrating medical and behav- looking to improve health outcomes, addressing an unmet community ioral healthcare, on the other hand, measured as better A1C results, proper health need—if a mental eliminates the stigma and frequency of blood sugar testing, health issue comes up in logistical issues that present and compliance with medications.” a specialist appointment, barriers to getting effective This last point—medication coma referral can be made on treatment. Instead of doc- pliance—is no small issue when it the spot to a mental-health tors referring patients need- comes to diabetes, as incorrectly professional under the ing mental-health services managing the medications used to same roof. The second to a different practitioner treat the disease can have critical is having the experience in a different location and consequences. “Insulin, for example, of getting referrals for on a different day, they is very potent and can have significant behavioral-health intercan be seen right away side effects if not used properly. If vention for a physical and under the same roof the patient fails to take it or takes too health diagnosis. “There’s by a member of the same much, he or she can easily end up also a third benefit in the in the emergency room. So, it’s vital multidisciplinary team. Stephen Gonce strong relationships that “An integratthat we assess whether develop among the different clinical ed approach is particularly depression or other menstaffs through regular collaboration critical for patients with tal health issues might and in-the-moment consultation,” diabetes because successcause compliance issues he adds. fully managing the disease for the patient,” Dr. HamDr. Lee Hammerling, ProMedica requires a complex self-care merling states. chief physician executive and chief regimen, including approThough the co-locamedical officer, points out that 50 to priate use of medications, tion project at the Di60 percent of people with chronic regular monitoring of blood abetes and Endocrine disease also have a behavioral-health sugar, and the proper use Care Center just recently issue, usually depression. But the fact of equipment,” says Dr. began, both Gonce and Dr. that mental health is still “kept in the Hammerling. “Patients with Hammerling are enthusishadows,” stigmatized, and seldom mental-health issues, or astic about the outcomes Dr. Lee Hammerling discussed in an integrated way means those struggling with other they’re seeing thus far. that, too often, the patient is not being stressors, may have difficulty incorpo- “Anecdotally speaking, we’ve noticed treated as a whole person—and that rating this type of regimen into their that the people we’re working with leads to suboptimal outcomes. lives. By co-locating services, we’re are showing improved adherence

to blood glucose monitoring, better medication management, and better A1C levels,” says Gonce. Of course, the collaboration between ProMedica and Harbor isn’t limited to diabetes care. Harbor ’ behavioral-health services are also integrated in the inpatient and outpatient behavioral health units in ProMedica hospitals, as well as in ProMedica Health and Wellness Center, which houses primary-care and specialty physician offices along with a variety of different services and resources. Dr. Hammerling hopes to see more and more medical offices getting on board with the integration concept so that assessing patients for mental-health issues becomes just another part of the intake and data-collection process and mental-health screenings become just as routine as mammograms and colonoscopies. “It’s also really important to get insurance providers and governments, both federal and state, aligned with this concept so we get to the point where there’s no question of whether insurance, Medicare, or Medicaid will cover the cost of behavioral-health services,” he says. ❦

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Rehabilitation Services designed to get patients back to living. MedBridge at Heartland provides a comprehensive regime of specialized rehabilitation services, each one designed to move you one step closer to your recovery goals. Recovery begins with our state-of-the-art rehab gym where our team can treat patients recovering from orthopedic injuries, stroke and neurological, cardiac, oncology and pulmonary issues. MedBridge focuses on shortterm patients requiring a higher level of medical care and rehab. We offer: • Complex medical care • Intensive rehabilitation • Skilled nursing For additional information or MedBridge contact: Heartland at ProMedica on the campus of Flower Hospital Opening Fall 2015 5360 Harroun Road Sylvania, OH 43560 419.540.6000

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How not to get cancer by Douglas Schwan, DC, Dipl ac

he word “cancer” evokes fear in many people. Cancer refers to many different conditions that all involve the cells of our body going rogue on us. Each of the billions of cells that make us up contains a complete set of genetic blueprints for our body. However, as we grow from a single-cell embryo into a fully formed human, each cell uses just a tiny piece of this blueprint for its own functions. For example, a heart cell might use just the genes that code for what a heart cell does. A stomach cell uses the code that tells what a stomach cell needs to know. The rest of the genes are still there, but they are turned off so that the cell can only express the instructions for its cell type. This turning off of certain parts of a cell’s genetic info is termed “differentiation.” For billions of our cells, this differentiation works flawlessly. Heart cells work like heart cells should, stomach cells work like stomach cells should, and on and on for all the different cell types of our body. On very rare occasions, something goes wrong with this process. Cells need to replace themselves from time to time as they wear out, so they divide as needed. They copy themselves just enough times to replace worn and dead cells. Sometimes the genes that code for replacement get garbled and those cells go right on dividing over and over again well past the point of necessary replacement. All the replacement cells also carry this genetic hiccup, so they also continue to divide endlessly. This big gob of cells is called a tumor. Sometimes parts of the tumor break off and set up house in another part of the body and keep right on dividing. Usually the cancer itself is not what causes death; the taking over of space and destruction of healthy tissue function is what kills us. For example, a tumor in the liver may shut down liver function, a cancer growing in the bone marrow may lead to anemia since that is where new blood cells are supposed to be grown, brain tumors can squeeze out healthy brain tissue, and so on.

Cancer likely has a myriad of causes, but one thing we do understand is that many cancers result from some sort of irritation to the underlying normal healthy tissue. For example, smoking has a strong link to lung cancer. Tanning is linked with skin cancer. Drinking alcohol can lead to cirrhosis of the liver, which, in turn, has been linked with liver and pancreatic cancer. So what can we do to minimize our risk of getting cancer during our lifetime? It is easy to stay away from the known cancer causes, like smoking, heavy alcohol ingestion, and excessive tanning, but what else can we do? The “big three”—tobacco, alcohol, and excessive sun exposure—are the first step. Avoid these. Cancer seems to be triggered by irritants in our environment over a period of time. If you work around solvents, especially petroleum products, make sure you take all proper precautions, such as wearing protective gear where required. Gas and solvents can enter through the lungs or skin pores very easily and cause irritation that damages cells and can lead to cancer. Don’t forget the household bug killers and disinfectants. Read the labels carefully. Do not use products indoors if they are specified for outdoor use only. Use protective gloves and respirators if the instructions call for it. Be careful on the sexual front. Hepatitis B and C as well as HPV are chronic viral infections that can irritate cells enough over time to cause cancers. Some are difficult to cure. Practice safe sex. Check the area of the country you are in. In certain parts there is naturally occurring radioactive gas like radon seeping into homes. Radioactive compounds like radon can become concentrated enough to inflict a radiation dose high enough to flip the cancer switch. Check your area and, if in doubt, have your basement vented to remove excessive concentrations of any radioactive gas. Chemicals of any sort can irritate the cells of our body. These include

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the preservatives and food colorings in food. Try to stick to a more natural diet by avoiding processed foods and fast foods, which are laden with these chemical irritants. Learn to read ingredient labels. The body can handle occasional insults, but throwing crap at it every single day is begging to break something. Remember, too, that many drugs are linked with cancers. Even over-the-counter products like acetaminophen can increase the risk of lymphoma and other blood cancers with long-term use. The idea seems to be that everything taken into the body should be done with moderation. Even things as seemingly innocuous as vitamins can become toxic in large doses. Mega-dosing with vitamins should not be attempted over long periods of time, but only for short-term use for a specific medical need. Keep in mind that mega-dosing for treatment of diagnosed cancers should only be done with specific referral from a physician trained in nutrition. Remember that cancer cells are just your normal cells doing an abnormal thing. Those cancer cells love those extra doses of vitamins even more than your regular cells! The time to take vitamin supplements, especially antioxidants, is before you get cancer—not after! Stress reduction can also lead to decreased incidence of cancer. Our immune system is our first line of defense against cancer. There are indications that cancer cells are constantly developing in our body but our immune system keeps them in check by culling them before they get out of hand. Stress lowers our immune response and can open us up to a wide range of illnesses. Meditation, acupuncture, and changing our lives can all lead to less stress and less disease. Regular exercise can help improve circulation, strengthen our immune system, and ward off a wide variety of diseases including cancer. It is as simple as adding a walk around the

block every day to our normal routine. Lastly, have you considered a nutritional consultation with a doctor trained in natural healing? Many people have a medicine cabinet crammed full of vitamins that were bought on impulse with no idea of the proper dosage or even whether they are safe to take? Consider sitting down with a holistic-oriented doctor and having a clean nutritional workup complete with dietary suggestions and dosages tailored for you specifically. ❦ Dr. Schwan is available to speak at your group’s function on a wide variety of alternative medicine topics, including chiropractic, acupuncture, herbal medicine, cold laser, nutrition, vitamins, etc. He is a graduate of the International Academy of Medical Acupuncture & Palmer College of Chiropractic. He is president of Schwan Chiropractic & Acupuncture Clinic in Toledo, Ohio. For more information on alternative medicine, please visit his website at www. acupuncturetoledo.com.

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Art meets country— and a little rock & roll at Serenity Farm’s Art in the Barn

elp supports kids in equine-assisted therapies and learning programs of Northwest Ohio at Serenity Farm’s 3rd annual Art in the Barn, planned for September 26, 2015 from 4:00–7:00 p.m. This new favorite event for Serenity Farm’s friends and family will take place at Serenity Farm, 21870 Lemoyne Road in Luckey, Ohio. Enjoy music from Kyle White, local art, dinner provided by City BBQ, and visits from Team Thunder. You don’t want to miss this year’s event! Tickets are on sale now for $25.00 and can be purchased through PayPal at serenityfarm. org or by emailing Julie Bermudez at dbermude20@hotmail. com. No tickets will be sold at the door. For more information, call 419-833-1308, email info@ serenityfarm.org, or visit www. serenityfarm.org.

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A Walk in the Park by LeMoyne Mercer

More than just a hole in the ground

ou have probably heard that the Grand Canyon is a mile deep. That’s one way of looking at it. Another way is to note that you have to climb a long way up to look a mile down. The South Rim Visitor Center is at an elevation of 6,860 ft. The North Rim VC is at 8,255 ft.—more than a mile and a half up. The rims are only about 10 miles apart, but it is 215 miles by car from one to the other. Because there is relatively easy access to the South Rim, more than 90% of the five million annual Grand Canyon visitors see it from that side. That’s one of the reasons that Shirley and I prefer to see it from the North Rim. Not only is it quieter, but we also appreciate the extra 1,400 feet in elevation because it means cooler temperatures. Typically, we arrive ready for some cool mountain air after passing through southwestern Colorado or southern Utah where it is

often more than 100° in the summer. This year, for example, we came to the Canyon via Monument Valley where it was 104°. We have hookups for the RV, so we could run our air conditioner. Even though it is the famous “dry heat,” 104° is still 104°. So, we were happy to begin the long, steep climb from the Vermillion Cliffs to the Kaibab Plateau and the North Rim where the temperatures were in the mid-70s during the day and 40s to low 50s at night. Great sleeping weather! When we entered the park, there seemed to be plumes of smoke rising from the ground. Closer up, we saw that it was fog over a bank of snow. Above 8,000 ft. there may be snow even in July. Then there is the matter of rain. Toledoans may find this next part hard to believe given the unfortunate weather experienced this spring and

early summer. At Grand Canyon, we actually enjoyed the late afternoon thunder showers. Arizona typically has a summer monsoon season. High pressure over Colorado interacts with low pressure over southern California to draw moisture up from the Gulf of Mexico. It cools the air and releases the clean scents of pine and the flinty, minerally smell of rocks. Sitting under the shelter of the RV awning with an adult libation during a light shower is one of life’s genuine pleasures. We camped back among the aspens and Ponderosa pines (cue the Cartwrights’ unfortunate rendition of their theme song) where we prefer the melodious whistle of the thrush to the singing of Hoss and Little Joe. There were other birds, too. Raucous ravens, hawks, a pair of wild turkey hens with their broods of chicks.

There are numerous animals in the park—mule deer, mountain lions, bison. One of my favorites, though definitely not Shirley’s, is the humble mule. Regular readers of this column may recall my account of a mule ride into the Canyon. Shirley’s mount, Dagwood, stumbled and lost his footing, nearly plunging both of them into the void. This year, I asked if Dagwood was still in service. Close to retirement they said. Shirley was hoping he had been turned into dog food. No. Shirley is more kind-hearted than that. She said cat food. Biological note: A mule is the offspring of an ambitious little male

After the Great Dagwood Debacle, Shirley vowed that her next trip into the Canyon would be on foot. So it was.

We camped back among the majestic Ponderosa pines. (Cue the Cartwrights.)

Dagwood is not dog food. Yet. Cat food either.

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donkey and a condescending lady horse. The cross is incapable of reproduction. Mules are neuter. We have always thought of Dagwood as “he,” but wranglers call all mules “she” regardless of their names. After the Great Dagwood Debacle, Shirley swore that next time she went into the Canyon it would be on foot. So it was. We started the North Kaibab Trail right at the mule corrals. It was 8:15, but a mule train was already ahead of us, leaving massive quantities of solid and liquid evidence in the trail. We pitied those hikers who had decided that sneakers or sandals were appropriate footwear. The trail descended gently for about 10 minutes to the first switch back. From there it is increasingly steep all the way down to the Colorado River. At Coconino Point, there is a great view of the trail snaking away far, far below. The rule of thumb is to allow twice as much time to climb back up as it took to descend. We stopped after only 45 minutes, drank a third of our water, and began the ascent. Doing pretty well for geezers on the north rim of 70 years. But we were overtaken by three young men wearing enormous packs. They had descended from the South Rim, crossed the river, and climbed to the North Rim. In three days. They had passed through two billion years of geological time, but I think they were more concerned with physiology than geology. The problem for the visitor to Grand Canyon is the immense scale. We literally cannot absorb it all. Imagine you have a high definition TV that is 20 ft. tall and 150 ft. wide. You are seated five feet from it. What do you make of the picture? So, we go from view point to view point trying to piece the image together. My guess is that most visitors can see just about everything they want to see right from an Adirondack chair on the stone verandah of the park lodge. The scene changes right before your eyes as clouds cast

shadows that change the colors and has percolated down through huntextures. You might even enjoy a dreds of feet of rock. When water thunderstorm as it rolls across the hits a less permeable layer, it runs view at a safe distance. horizontally until it finds an opening. As I was doing just that, the gen- At these points there are small pools tleman next to me confided that he and lush greenery—ferns, columwas 86 and visiting the Canyon to bines. Naturally, these places also check one more thing off his bucket attracted people trying to survive list—what he wanted to do before in a dry climate. On the cliff face he kicked the bucket. His daughter were ancient, rust-colored hand had brought him. In a wheelchair. prints—Indian graffiti. Carpe diem, folks. Archeologists have also found Were you inclined—and able—to the foundations of ancient dwelltake a little walk in the park, there ings made of shaped limestone slabs are other vistas worthy of atten- turned on end. The remains of roof tion. Shirley and I are partial to the drive out to Point Imperial and Cape Royal with their attendant short hikes. At Walhalla, you’ll find evidence of the Ancient Ones who lived there up to 10,000 years ago. We took the Cliff Spring Trail, descending a couple hundred feet to where it runs along the cliff face under an overhang. There are We took the short walk out to the Window. Shirley asked, "Where springs where water is it?" "You're standing on it," I said. "It's hard to see it from here."

beams and adobe suggest that these structures were probably entered through the roofs like the kivas at Mesa Verde and other Puebloan cliff dwellings. More space seems to have been devoted to food storage than

Rust-colored hand prints are a common form of ancient Indian graffiti in the West.

Archeologists have decided that most of the structure marked by these foundation stones was used for food storage.

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2,000 years ago as indicated by masonry wall, pottery, and woven baskets. The speculation is that these people were the ancestors of the modern Hopi Indians who left the area about 900 years ago because of climate change. Caused, no doubt, by all the wood those Indians burned to smoke their fish. Or whatever they were smokin’. After you have visited the lodge and taken the obligatory 50 to 100 photos to post on Facebook, you

habitation. Prudent desert dwellers would lay aside as much as possible for the lean months. Or years. Along the trail there is also what appears to be a small cave formed by a jumble of boulders. Peer inside and you’ll find masonry walls. Those archeologists have determined that it was a granary. You can never have too much socked away. Hunter-gatherer culture evolved into a more settled way of life about

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might want to take a walk in the park to see what treasures you can find besides that huge hole in the ground. ❦ LeMoyne Mercer is the travel editor for Healthy Living News and the regular contributor of A Walk in the Park.

Above: The Cliff Spring Trail runs along a ledge where seeps and tiny springs would have supplied the Ancients who lived nearby.

Left: In the early morning mist, the Canyon looks more like a series of mountain ridges.

Lourdes University and Saint Louis University collaborate to offer MSW program

he Ohio Board of Regents has approved the collaboration of Lourdes University and Saint Louis University to offer a Master of Social Work (MSW) degree program at Lourdes. Applications for the inaugural program are currently being accepted. The first cohort is scheduled for this fall. “Lourdes and Saint Louis University have partnered to offer an MSW that aligns with the Franciscan and Jesuit mission of serving humankind with compassion. The program also allows professionals in this region to pursue their degree at a private accredited institution,” says Lourdes Social Work Chair Terry Keller, ABD, MSW, MBA, LMSW, ACSW. The MSW program has two tracks—one for graduates of an accredited bachelor’s degree program in social work and one for those who have achieved their bachelor’s degree in other disciplines. “St. Louis University is pleased to join Lourdes in offering the MSW to individuals and practitioners in northwest Ohio and southeast Michigan,” adds Donald Linhorst, PhD, MSW, Interim Dean, Professor, Director of the School of Social Work, Saint Louis University. Lourdes University launched its social work baccalaureate program in 1984. First accredited by the Council on Social Work Education (CSWE) in 1993, the program has been accredited through 2021. The Bachelor of Arts in social work degree program provides the knowledge, values, and skills necessary for students to engage in generalist social work practice. As social work majors, students learn how to view ethnic, sexual, racial identity, and differing abilities from a culturally competent, strengths-based perspective. Quality field education requirements allow students to choose from a variety of sites, including social-service agencies, domestic-relations court, hospitals, and other healthcare organizations. To learn more about the Bachelor of Arts in social work degree program, visit www.lourdes.edu/socialwork, email lcadmits@lourdes.edu, or call the Lourdes Undergraduate Admission office at 419-885-5291. To learn more about the Master of Social Work degree program, visit www.lourdes.edu/msw, email gradschool@lourdes.edu, or call the Lourdes Graduate School direct at 419-824-3517.

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Seven ways to beat the “freshman 15”

very incoming college freshman has heard the term “freshman 15,” which describes the amount of weight many college students are said to pack on in their first year away at school. But is there real cause for concern when it comes to the freshman 15 or is this figure merely, well, inflated? According to a Cornell University study, that number may not miss the mark by much. Study results demonstrate that on average, college freshmen gain around a half a pound a week. To put that quantity in perspective, consider that it’s almost 11 times greater than the average weight gain among 17- and 18-year-olds and almost 20 times greater than the average weight gain among adults. So why do the freshman 15 happen? It’s really no big surprise when you look at it logically. In their first year of college, many kids are experiencing freedoms and stresses that they’ve probably never experienced before in their lives. Parental oversight of nutritional habits is completely eliminated—they can eat what they want when they want. Food becomes

a source of comfort in a stressful, new environment. Late-night study sessions open the door to late-night nibbling. The campus dining hall serves up hefty portions of fattening foods. Vending machines filled with high-calorie snacks and treats are always within easy reach. The list goes on and on. So how can you keep the freshman 15 at bay in spite of all the changes, stresses, and temptations that freshman year affords? Follow the seven simple steps below: Don’t skip breakfast—Mom may have been right when she told you, “Breakfast is the most important meal of the day.” Skip it, and you’ll be ravenous—and tempted to overdo it on high-calorie snacks—before you’re halfway through your 9:00 am class. Eat at home—Okay, “home” probably means your cramped little dorm room now, but the point still applies. If you stock that mini fridge with a variety of fruits, veggies, wholegrain bread, lean luncheon meats, and other wholesome choices, you’ll have a good supply of healthy foods

to snack on in between classes or for small meals so you don’t feel compelled to hit the nearest drivethrough or vending machine when your stomach growls. Get adequate rest—True, late nights are a hallmark of the college experience, but they can also lead to unwanted weight gain. Getting seven to eight hours of sleep per

night on a regular basis not only curbs freshman-year stress but also helps to eliminate the need for late-night nibbling—and that 3:00 a.m. call for pizza delivery. Drink more water—Drinking water instead of soda or other sugary beverages is a great way to cut down on calories. In addition, it’s easy to mistake the feeling of thirst for hunger, so drinking a glass of water before eating can help to take the edge off your appetite. Don’t care for water by itself? Add a slice of lemon or a sugar-free flavor packet to spruce up the flavor without adding calories. Go easy on the alcohol—If you’re a college freshman, chances are, you’re under the legal drinking age of 21 and shouldn’t be consuming alcohol anyway. But if you are of legal age and choose to drink, do so in moderation. Remember, alcohol is packed with empty calories. A good trick to help keep drinking in control while hydrating your body is to drink a glass of water in between every alcoholic beverage. Get thee to the rec center!—If your campus features a recreation center,

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snacking can help keep the pounds away—provided it’s the right form of snacking—because it keeps you from reaching ravenous mode in between meals. But instead of pumping money into the vending machine for chips or candy bars, take healthy snacks, such as fruit, nuts, or yogurt, with you to class. ❦

its use is probably covered by the cost of your tuition. Why not take advantage of it? Or, sign up for a class like volleyball or karate so you can get fit while you gain academic credits. Getting involved in intramural sports is another great way to work exercise into your schedule. Keep on snacking!—That’s right,

How to safely manage that garden chemical stockpile

s your garage or storage shed starting to look like a chemical warehouse loaded with outdated or poorly labeled fertilizers, herbicides, and pesticides? If so, you might want to take the opportunity this fall to do a little garden chemical housecleaning and, possibly, develop a strategy for phasing some of those toxic substances out of your gardening arsenal altogether. Many of the chemicals we routinely use to feed our lawns and plants, kill weeds, and control pests pose the risk of environmental damage and are potentially harmful to people, pets, and wildlife if handled, applied, or disposed of improperly.

So what can you do to ensure that your garden chemicals don’t become a source of environmental contamination or, worse, the cause of a tragic accident? The answer has three components—proper storage and handling of the chemicals you

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